Evidence map›Paper›PMID 40736584›Full record

ReviewTechniques in coloproctology2025

The application of EPSiT in pilonidal sinus disease: an international Delphi consensus study endorsed by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI).

H K Sekhon Inderjit Singh, P Meinero, F C Campanile, A Quddus, R Rajaganeshan, J Warusavitarne, V Dotlacil, A Bhargava, P Giordano, A Pini Prato and 11 more

Abstract readReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
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

21 authors.

H K Sekhon Inderjit SinghDepartment of Surgery, Barking, Havering and Redbridge NHS Trust, Romford, Greater London, UK.
P MeineroDepartment of Surgery, Montallegro Clinic, Genoa, Italy.
F C CampanileDivision of General Surgery, Ospedale San Giovanni Decollato, ASL Viterbo, Andosilla, Civita Castellana, Italy.
A QuddusDepartment of Surgery, Homerton Healthcare NHS Trust, Hackney, London, UK.
R RajaganeshanDepartment of Surgery, Mersey and West Lancashire NHS Trust, Prescot, UK.
J WarusavitarneDepartment of Surgery and Cancer, Imperial College London, London, UK.
V DotlacilDepartment of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
A BhargavaDepartment of Surgery, Barking, Havering and Redbridge NHS Trust, Romford, Greater London, UK.
P GiordanoDepartment of Colorectal Surgery, Whipps Cross Hospital, London, UK.
A Pini PratoUmberto Bosio Center for Digestive Diseases, The Children Hospital, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
V ShatkarDepartment of Surgery, Barking, Havering and Redbridge NHS Trust, Romford, Greater London, UK.
P JalaliResearch Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
V C HalahakoonDepartment of Surgery, East Suffolk and North Essex Foundation Trust, Colchester, UK.
G GalloDepartment of Surgery, Sapienza University of Rome, Rome, Italy.
M MiloneDepartment of Clinical Medicine and Surgery, University of Naples 'Frederico II', Naples, Italy.
S MantooDepartment of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore.
C A LeoDepartment of Surgery, The Royal London Hospital, Barts NHS Trust, London, UK.
C EspositoDivision of Paediatric Surgery, Frederico II University of Naples, Naples, Italy.
M FarghalyGeneral Surgery Department, Farwaniya Hospital, Al Farwaniyah, Kuwait.
T ArulampalamSchool of Medicine, Anglia Ruskin University, Chelmsford, UK.
N PawaDepartment of Surgery and Cancer, Imperial College London, London, UK. npawa@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic pilonidal sinus treatment (EPSiT) is a novel, minimally invasive surgical technique that has shown promise in the treatment of pilonidal sinus disease. Despite the apparent benefits and call for increased use, widespread uptake has been slow. This study aims to gather and understand expert international opinions on EPSiT and develop recommendations for its application in the surgical community.

methodsExpert international panellists were identified and recruited to participate. A three-round modified Delphi consensus consisting of 43 questions regarding the application of EPSiT was posed. A combination of a five-point Likert scale, binary 'yes/no' scale and multiple-choice questions was used. The consensus threshold was set at 70% agreement. When consensus was not achieved or further insight was required, statement questions were posed. The study has been performed in accordance with ACcurate COnsensus Reporting Document (ACCORD) explanation and elaboration guidelines.

resultsTwenty experts from six countries participated in all rounds, with a 100% response rate. Our experts agreed on 28 statements including: the absence of absolute contraindications to EPSiT; administering intravenous induction antibiotics routinely but not post-operative oral antibiotics; recommending laser epilation; offering re-EPSiT to the informed patient after first and second procedure failures; and that EPSiT should be incorporated into surgical training programmes.

conclusionsThis is the first study to provide an international expert consensus on the specific application of EPSiT in primary and recurrent adult and paediatric patients with pilonidal sinus disease. The findings of this study contribute to the development of protocols for EPSiT in pilonidal sinus disease management, addressing key areas of consensus and controversy and promoting procedure uptake.

Indexed as

LaparoscopyPilonidal SinusDelphi TechniqueHumansIrelandSocieties, MedicalUnited KingdomAdultChronicConsensusEndoscopicPaediatricPilonidal diseasePrimaryRecurrent

Identifiers

PMID40736584
PMCPMC12310914

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Registered trials

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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.