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• W3204662811 abstract "Classic treatment of pilonidal sinus is associated with a high rate of complications and a long and painful postoperative period requiring daily wound care, with a decrease in patients' quality of life. The objective of our study was to evaluate the effectiveness and advantages of the endoscopic technique vs. conventional surgery of pilonidal sinus in the pediatric population.A quasi-experimental study was carried out in pediatric patients undergoing pilonidal sinus surgery at a single institution in 2019. Excision and healing by secondary intention (EHSI), excision and primary closure (EPC), and Pediatric Endoscopic Pilonidal Sinus Treatment (PEPSiT) were compared. The surgical technique chosen was surgeon-dependent.49 patients were studied - 14 undergoing PEPSiT, 23 undergoing EHSI, and 12 undergoing EPC. Full healing process was faster in PEPSiT than in EHSI (11 weeks earlier; 95% CI: 6.2-15.9; p < 0.001). Pain on the Visual Analogue Scale (VAS) and need for analgesics were less in the PEPSiT group (p = 0.001). Mean time to return to normal life was shorter with PEPSiT - 78 days earlier than EHSI (95% CI: 42.2-114.9; p < 0.001) and 39 days earlier than EPC (95% CI: -2.5-81.4; p = 0.06). No complications were recorded with PEPSiT, whereas complication rate with EHSI was 69.6%, and complication rate with EPC was 58.3% (p = 0.001).Endoscopic pilonidal sinus treatment is effective, with a short and painless postoperative period, and easy wound care. It allows for an early return to normal life without restrictions.Los procedimientos clásicos exeréticos en el tratamiento del sinus pilonidal están relacionados con una alta tasa de complicaciones y conllevan un postoperatorio largo y doloroso, precisando curas tópicas diarias hasta la cicatrización completa, lo que provoca una disminución de la calidad de vida de los pacientes. El objetivo de este trabajo es evaluar la eficacia y las ventajas de la técnica endoscópica frente a la cirugía convencional del sinus pilonidal en población pediátrica.Estudio cuasi-experimental en pacientes pediátricos operados de sinus pilonidal durante 2019 en un único centro. Comparamos la exéresis con cicatrización por segunda intención (ESI), exéresis con cierre primario (ECP) y PEPSiT (Pediatric Endoscopic Pilonidal Sinus Treatment). La elección de la técnica fue cirujano-dependiente.Se estudiaron 49 pacientes: 14 PEPSiT, 23 ESI y 12 ECP. Se consigue la epitelización completa 11 semanas antes con PEPSiT que con ESI (IC95%: 6,3 a 16,3; p < 0,001). Encontramos menor dolor en escala analógica visual (EVA) con PEPSiT, y paralelamente también necesitaban menos analgésicos (p = 0,001). Con PEPSiT recuperan su vida normal 78 días antes de media que los ESI (IC95%: 42,2 a 114,9; p < 0,001) y 39 días antes que ECP (IC95%: -2,5 a 81,4; p = 0,06). No se registraron complicaciones con PEPSiT frente a un 69,6% con ESI y 58,3% con ECP (p = 0,001).El tratamiento endoscópico del sinus pilonidal es efectivo, con un postoperatorio corto, indoloro y con fáciles cuidados. Permite la rápida recuperación de la actividad normal sin las restricciones que conlleva la cirugía convencional." @default.
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• W3204662811 date "2021-10-01" @default.
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• W3204662811 title "Advantages of endoscopic pilonidal sinus treatment." @default.
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