SynthesisSurgical endoscopy2018
Endoscopic pilonidal sinus treatment: a systematic review and meta-analysis.
Synthesis in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- International Society of Laser Proctology Position Paper on SiLaC and EPSiT/SiLaC in the Management of Pilonidal Sinus Disease.Lasers in surgery and medicine · 2025Guideline
- German National Guideline on the management of pilonidal disease: update 2020.Langenbeck's archives of surgery · 2021Guideline
- A mapping review of sacrococcygeal pilonidal sinus disease.Techniques in coloproctology · 2021Pooled it
- Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature.Frontiers in surgery · 2021Pooled it
- Efficacy and safety of RD2 Ver.02, a whole blood clot therapy, coupled with a minimally invasive procedure in pilonidal sinus: a phase II study.Techniques in coloproctology · 2024Trial
- Conservative Sinusectomy vs. excision and primary off-midline closure for pilonidal disease: a randomized controlled trial.International journal of colorectal disease · 2020Trial
- Laser-assisted endoscopic treatment of pilonidal sinus disease in children: a first pediatric series.Pediatric surgery international · 2026Article
- Long-term outcomes of endoscopic pilonidal sinus treatment: A single tertiary centre experience.Journal of minimal access surgery · 2026Article
- Long-term outcomes of video-assisted anal fistula treatment.Surgical endoscopy · 2026Observational
- The New Minimally Invasive Techniques for Pilonidal Sinus Disease Surgery: Choosing the Right Technique for the Right Patient-A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Intra-operative ultrasound in the surgical treatment of complex and recurrent pilonidal disease: a retrospective, observational, single-center study.International journal of colorectal disease · 2025Observational
- SiLaC® with EPSiT®: early outcomes of laser-endoscopic therapy for pilonidal sinus.Frontiers in surgery · 2025Article
- Pediatric endoscopic pilonidal sinus treatment: lessons learned after 100 consecutive cases.Techniques in coloproctology · 2024Article
- Pilonidal sinus: an overview of historical and current management modalities.Updates in surgery · 2024Review
- Review
- Unroofing and curettage for recurrent sacrococcygeal pilonidal disease.Frontiers in surgery · 2024Article
- Non-operative management of pilonidal sinus disease; classification and outcome.International wound journal · 2023Article
- Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience.Techniques in coloproctology · 2023Article
- Endoscopic approach to complex or recurrent pilonidal sinus: A retrospective analysis.International wound journal · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSacrococcygeal pilonidal disease (SPD) is a common surgical condition for which a multitude of surgical treatments have been described. The present review aimed to evaluate the efficacy and safety of a novel endoscopic procedure for the treatment of SPD.
methodsAn organized literature search was conducted. Electronic databases including PubMed/Medline, Scopus, Embase, and Cochrane library were searched for articles that assessed the endoscopic treatment for SPD. The main outcome parameters were failure of the technique including persistence and recurrence of SPD, postoperative complications and pain, time to complete healing, and time to return to work.
resultsNine studies with a total of 497 patients were included. Mean age of patients was 24.8 years. Mean operation time was 34.7 min. The procedure was performed as day-case surgery in all studies. The mean Visual analogue score of pain within the first week was 1.35. Failure of the technique was recorded in 40 (8.04%) patients, 20 (4.02%) had persistent SPD and 20 (4.02%) developed recurrence. The weighted mean failure rate of the technique was 6.3% (95% CI 3.6-9.1). Mean weighted complication rate was 1.1% (95% CI 0.3-2.4). Mean time to complete healing was 32.9 days and mean time to return to work was 2.9 days.
conclusionThe endoscopic treatment of pilonidal sinus is a promising and safe method of treatment of SPD. The main advantages of the endoscopic treatment as compared to conventional surgery are the minimal postoperative pain, quick healing, and short time to return to work and daily activities.
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29603009What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.