Alessio Pini Prato1, Cinzia Mazzola2, Girolamo Mattioli2, Maria Escolino3, Ciro Esposito3, Antonio D'Alessio4, Laura Caterina Abati4, Lorenzo Leonelli2, Claudio Carlini5, Franco Rotundi5, Pier Carlo Meinero6. 1. Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Spalto Marengo, 46, 15121, Alessandria, Italy. a.piniprato@gmail.com. 2. Unit of Pediatric Surgery, Department of Surgery, Giannina Gaslini Institute, Genoa, Italy. 3. Pediatric Surgery, Federico II University, Napoli, Italy. 4. Pediatric Surgery, Ospedale Civile di Legnano, Milan, Italy. 5. Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Spalto Marengo, 46, 15121, Alessandria, Italy. 6. Proctological Unit, Department of General Surgery, Sestri Levante Hospital, Genoa, Italy.
Abstract
BACKGROUND: Pilonidal disease is a troublesome acquired condition for whom various surgical treatments have been proposed with relatively high recurrence and complication rates. Since EPSiT technique has been described in 2013, it became an alternative treatment in adult practice. Our study reports the results of a multicentre series of pediatric patients who underwent EPSiT procedure over a 21-month period. METHODS: Between July 2015 and March 2017, all consecutive patients undergoing EPSiT in four different pediatric surgical units have been enrolled. Details regarding demographic data, detailed surgical procedure, outcome and complications have been recorded. RESULTS: A total of 43 patients underwent EPSiT procedure. Mean age was 15 years. There was a slight female preponderance. Mean weight and height at surgery were 67 kg and 168 cm, respectively. In 14% of cases a previous ineffective procedure was performed. Mean length of procedure was 34 min and median hospital stay was 24 h (12-72 h). Median length of follow-up was 4 months (range 3-18 months). Complications leading to reoperation were reported in 9% of cases with an overall resolution rate of 88%. DISCUSSION: EPSiT proved to be feasible and safe even in the pediatric population. The effectiveness and safety of the procedure suggest that this technique can represent a valid alternative for the treatment of pilonidal disease in children.
BACKGROUND:Pilonidal disease is a troublesome acquired condition for whom various surgical treatments have been proposed with relatively high recurrence and complication rates. Since EPSiT technique has been described in 2013, it became an alternative treatment in adult practice. Our study reports the results of a multicentre series of pediatric patients who underwent EPSiT procedure over a 21-month period. METHODS: Between July 2015 and March 2017, all consecutive patients undergoing EPSiT in four different pediatric surgical units have been enrolled. Details regarding demographic data, detailed surgical procedure, outcome and complications have been recorded. RESULTS: A total of 43 patients underwent EPSiT procedure. Mean age was 15 years. There was a slight female preponderance. Mean weight and height at surgery were 67 kg and 168 cm, respectively. In 14% of cases a previous ineffective procedure was performed. Mean length of procedure was 34 min and median hospital stay was 24 h (12-72 h). Median length of follow-up was 4 months (range 3-18 months). Complications leading to reoperation were reported in 9% of cases with an overall resolution rate of 88%. DISCUSSION: EPSiT proved to be feasible and safe even in the pediatric population. The effectiveness and safety of the procedure suggest that this technique can represent a valid alternative for the treatment of pilonidal disease in children.
Authors: Ciro Esposito; Serena Izzo; Francesco Turrà; Mariapina Cerulo; Giovanni Severino; Alessandro Settimi; Marta Iannazzone; Lorenzo Masieri; Giuseppe Cortese; Maria Escolino Journal: J Laparoendosc Adv Surg Tech A Date: 2017-12-12 Impact factor: 1.878
Authors: Frankie B Fike; Vincent E Mortellaro; David Juang; Daniel J Ostlie; Shawn D St Peter Journal: J Surg Res Date: 2011-03-11 Impact factor: 2.192
Authors: Michele Manigrasso; Pietro Anoldo; Grazia Cantore; Alessia Chini; Anna D'Amore; Nicola Gennarelli; Francesco Maione; Alessandra Marello; Pietro Schettino; Carmen Sorrentino; Sara Vertaldi; Loredana Maria Sosa Fernandez; Giovanni Domenico De Palma; Marco Milone Journal: Front Surg Date: 2022-01-04