Pini Prato Alessio, Mazzola Cinzia, Mattioli Girolamo, Escolino Maria, Esposito Ciro, D'Alessio Antonio, Abati Laura Caterina, Leonelli Lorenzo, Carlini Claudio, Rotundi Franco, Meinero Pier Carlo
Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Spalto Marengo, 46, 15121, Alessandria, Italy.
Unit of Pediatric Surgery, Department of Surgery, Giannina Gaslini Institute, Genoa, Italy.
Pediatr Surg Int. 2018 Jun;34(6):687-692. doi: 10.1007/s00383-018-4262-0. Epub 2018 Apr 19.
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.
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.
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%.
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.
藏毛窦疾病是一种棘手的后天性疾病，针对该疾病已提出多种外科治疗方法，但复发率和并发症发生率相对较高。自2013年描述了EPSiT技术以来，它已成为成人治疗中的一种替代方法。我们的研究报告了一系列多中心儿科患者在21个月期间接受EPSiT手术的结果。
在2015年7月至2017年3月期间，纳入了在四个不同儿科手术科室连续接受EPSiT手术的所有患者。记录了有关人口统计学数据、详细手术过程、结果和并发症的详细信息。
共有43例患者接受了EPSiT手术。平均年龄为15岁。女性略占优势。手术时的平均体重和身高分别为67公斤和168厘米。14%的病例曾进行过无效手术。平均手术时长为34分钟，中位住院时间为24小时（12 - 72小时）。中位随访时长为4个月（范围3 - 18个月）。9%的病例报告了导致再次手术的并发症，总体治愈率为88%。
即使在儿科患者中，EPSiT也被证明是可行且安全的。该手术的有效性和安全性表明，这种技术可以成为治疗儿童藏毛窦疾病的有效替代方法。
