Evidence map›Paper›PMID 32793341›Full record

ReviewAnnals of medicine and surgery (2012)2020

Pilonidal sinus disease: Review of current practice and prospects for endoscopic treatment.

Fahad Mahmood, Anwar Hussain, Akinfemi Akingboye

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Acute pilonidal abscess: Prospective nationwide audit in the Netherlands.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  8. Article
  9. Long-term outcomes after cleft lift surgery for pilonidal sinus disease in post-pubertal adolescents: data from a prospective Danish cohort.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Efficacy of laser obliteration with limited excision of pilonidal sinus.The Journal of international medical research · 2024
    Observational
  17. Article
  18. Managing pilonidal sinus disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  19. Article
  20. Use of the laser in the pilonidal sinus alone or in combination with phenol.Revista da Associacao Medica Brasileira (1992) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Fahad MahmoodDepartment of General and Colorectal Surgery, Russells Hall Hospital, Pensnett Rd, Dudley, West Midlands, DY1 2HQ, UK.
Anwar HussainDepartment of General and Colorectal Surgery, Leighton Hospital, Middlewich Road, Crewe, Cheshire, CW1 4QJ, UK.
Akinfemi AkingboyeDepartment of General and Colorectal Surgery, Russells Hall Hospital, Pensnett Rd, Dudley, West Midlands, DY1 2HQ, UK.
Russells Hall Hospital · GBLeighton Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pilonidal sinus disease is chronic acquired condition leading to significant morbidity and associated healthcare costs. Several techniques have been described to manage this condition with no treatment gaining universal acceptance. With the shift towards minimally invasive surgery, Video Assisted-Ablation of Pilonidal Sinus (VAAPS) and Endoscopic Pilonidal Sinus Treatment (EPiST) have gained prominence. The aim of this review is to analyse current treatment modalities and the evidence for endoscopic pilonidal sinus surgery. Reported surgical techniques range from wide excision with or without primary closure to various flap closures. These aim to eliminate the underlying causes driven by natal cleft hair and reducing recurrence. However, long term (≥5 years) recurrence rates range between 10 and 30% with significant complication rates. Trials with endoscopic treatment which have shown comparable short-term results to established treatments with reduced morbidity. However, the potential higher cost, learning curve, patient selection criteria and need for long term outcomes from randomised trials limit widespread application of this promising method. Endoscopic treatment of pilonidal sinus disease therefore provides a minimally invasive alternative to traditional surgical methods with the potential to reduce morbidity. However long-term outcomes data from further prospective randomised trials is needed to establish its efficacy compared to traditional surgical methods.

Indexed as

Bascoms procedureEndoscopic pilonidal sinus treatmentExcision of pilonidal sinusKarydakis procedurePilonidal sinus diseaseVideo-assisted ablation of pilonidal sinus

Identifiers

PMID32793341
PMCPMC7415633
OpenAlexW3046552118

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.