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Videoendoscopic pilonidal sinus surgery: early results with a new technique

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Summary

Background

We adapted a laparoscopic surgical technique to sacrococcygeal pilonidal sinus disease (SPSD) treatment.

Methods

The study included 18 cases. All patients were operated on under spinal anesthesia. Two 5‑mm trocars were placed 5 cm lateral to the intergluteal area. Sinus tracts, granulation tissues, and surrounding inflamed areas were dissected and removed through the trocar openings.

Results

Recurrence was detected in two patients within the first 3 months. Skin burn was observed in one patient and hematoma developed in another patient. All recurrences and complications were seen in the first group of nine cases. The mean follow-up period was 71.5 months (58–79 months). The mean operation time was 44 min and the mean hospital stay was 1 day.

Conclusion

Herein, we describe for the first time a lateral access videoendoscopic technique. After a learning curve, this minimally invasive new technique for SPSD treatment may reduce recurrences, wound complications, and the wide incision required by other techniques.

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Author information

Authors and Affiliations

  1. Faculty of Medicine, General Surgery Department, Bezmialem Vakif University, Istanbul, Turkey

    Enver Kunduz MD,  Erhan Aysan MD, Mehmet Guzel MD, Yunus Yapalak MD & Lutfullah Baskoy MD

  2. Sisli-Etfal Training and Research Hospital, General Surgery Clinic, Ministry of Health, Istanbul, Turkey

    Ufuk Oguz Idiz MD TC

Authors
  1. Enver Kunduz MD
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  2. Ufuk Oguz Idiz MD TC
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  3. Erhan Aysan MD
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  4. Mehmet Guzel MD
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  5. Yunus Yapalak MD
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  6. Lutfullah Baskoy MD
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Corresponding author

Correspondence to Enver Kunduz MD.

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Conflict of interest

E. Kunduz, U.O. Idiz, E. Aysan, M. Guzel, Y. Yapalak, and L. Baskoy declare that they have no competing interests.

Additional information

Author contributions Enver Kunduz MD is accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. He had substantial contribution to the conception or design of the work. Ufuk Oguz Idiz MD edited the manuscript and reviewed the literature. Erhan Aysan MD Prof. designed the study. He had substantial contribution to the conception or design of the work; the acquisition, analysis, interpretation of data for the work; and drafting the work or revising it critically for important intellectual content; final approval of the version to be published. Mehmet Guzel MD collected the data, helped to edit the manuscript. Yunus Yapalak MD collected the data, helped to edit the manuscript. Lutfullah Baskoy MD collected the data, helped to edit the manuscript.

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Kunduz, E., Idiz, U.O., Aysan, E. et al. Videoendoscopic pilonidal sinus surgery: early results with a new technique. Eur Surg 49, 275–278 (2017). https://doi.org/10.1007/s10353-017-0497-6

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  • DOI: https://doi.org/10.1007/s10353-017-0497-6

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