ArticleUpdates in surgery2019
Video-assisted ablation of pilonidal sinus (VAAPS) versus sinusectomy for treatment of chronic pilonidal sinus disease: a comparative study.
Article in Updates in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature.Frontiers in surgery · 2021Pooled it
- Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis.Scientific reports · 2020Pooled it
- Long-term outcomes of endoscopic pilonidal sinus treatment: A single tertiary centre experience.Journal of minimal access surgery · 2026Article
- Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience.Techniques in coloproctology · 2023Article
- Short- and mid-term results of diode laser treatment in pilonidal sinus disease and the role of endoscopic camera use on outcomes.Techniques in coloproctology · 2023Article
- Endoscopic approach to complex or recurrent pilonidal sinus: A retrospective analysis.International wound journal · 2023Article
- Article
- Histopathological Examination and Endoscopic Sinusectomy: Is It Possible?Frontiers in surgery · 2022Article
- Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease.Techniques in coloproctology · 2021Article
- Early versus delayed endoscopic treatment of acute pilonidal abscess: a propensity score-matched analysis.International journal of colorectal disease · 2021Article
- Analysis of Outcomes in Adolescents and Young Adults With Pilonidal Disease.Frontiers in surgery · 2021Article
- Pilonidal sinus disease: Review of current practice and prospects for endoscopic treatment.Annals of medicine and surgery (2012) · 2020Review
- Treatment Strategies for Pilonidal Sinus Disease in Switzerland and Austria.Medicina (Kaunas, Lithuania) · 2020Article
- Sinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study.International journal of colorectal disease · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since its first description in 1883, different treatments for pilonidal sinus disease have been proposed, but we are still far from the identification of an ideal approach. The objective of this study is to determine if video-assisted ablation of pilonidal sinus (VAAPS) could be considered superior/non-inferior to standard sinusectomy for treatment of pilonidal sinus disease. After applying propensity score analysis, data from 40 patients who underwent sinusectomy and 40 patients who underwent VAAPS, from March 2011 to August 2013, were collected. The two groups were similar in terms of sex, age, BMI, smoking status and complexity of sinus. The mean operative time was less for the sinusectomy group compared with the minimally invasive treatment group (30.38 ± 6.23 vs 44.39 ± 7.76; p = 0.001). On the other hand, the recurrence rate (7.5% vs 25%; p = 0.035) was significantly lower in the VAAPS group and the infection rate showed a trend toward reduction in the endoscopically treated patients (12.5% vs 30%; p = 0.057). No differences were found in terms of pain score at 1 week from surgery (3.71 ± 1.24 vs 3.76 ± 1.39; p = 0.883), satisfaction at 6 months (8.3 ± 1.2 vs 8.2 ± 1.3; p = 0.78) and time off work (2.01 ± 1.30 vs 2.08 ± 1.24; p = 0.620). The effectiveness of our new technique can be assessed again and the comparative analysis with the conventional sinusectomy shows the feasibility of VAAPS, suggesting that this procedure is the best way to perform a sinusectomy.
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