Department of Colorectal Surgery, The Royal London Hospital, Whitechapel Road, London, E1 1RR, UK.
Department of Cancer and Surgery, Imperial College London, London, UK.
Tech Coloproctol. 2021 Jun;25(6):739-743. doi: 10.1007/s10151-021-02431-w. Epub 2021 Mar 23.
Endoscopic pilonidal sinus treatment (EPSiT) is a novel minimally invasive option for the treatment of pilonidal sinus disease (PSD). To optimise the postoperative wound management after EPSiT, an ultraportable negative pressure wound therapy (NPWT) device was used. The aim of this study was to assess the clinical outcomes of negative pressure-assisted (NPA) EPSiT.
All patients with PSD treated by EPSIT from November 2017 to October 2019 were managed postoperatively with a commercially available NPTW dressing applied to the wound. All patients were prospectively entered into a dedicated database. Primary outcome measures were healing rate and return to normal activities. Secondary outcomes were postoperative complications and patient satisfaction.
Thirteen male patients underwent NPA EPSiT (mean age 27.8 years, range 16-52 years). Two patients had previous surgery for PSD. The mean follow-up was 14 months (range 4-28 months). In two patients, only partial healing of the tract was achieved. One of these required a further successful NPA EPSiT, while the other one refused any other treatment because of the lack of symptoms. Eight patients were very satisfied and 5 were satisfied with this treatment.
NPA EPSiT is a simple method for improving postoperative wound management, facilitating a quicker recovery and possibly improving overall patient satisfaction.
内镜下藏毛窦治疗（EPSiT）是一种治疗藏毛窦疾病（PSD）的新型微创选择。为了优化 EPSiT 后的术后伤口管理，使用了一种超便携的负压伤口治疗（NPWT）装置。本研究旨在评估负压辅助（NPA）EPSiT 的临床效果。
2017 年 11 月至 2019 年 10 月，所有接受 EPSiT 治疗的 PSD 患者术后均采用市售的 NPWT 敷料覆盖伤口。所有患者均前瞻性地纳入专用数据库。主要结局指标为愈合率和恢复正常活动的时间。次要结局为术后并发症和患者满意度。
13 名男性患者接受了 NPA EPSiT（平均年龄 27.8 岁，范围 16-52 岁）。2 名患者既往有 PSD 手术史。平均随访时间为 14 个月（范围 4-28 个月）。有 2 名患者仅实现了窦道的部分愈合。其中 1 例再次接受了成功的 NPA EPSiT，而另 1 例由于缺乏症状而拒绝了任何其他治疗。8 名患者对此治疗非常满意，5 名患者满意。
NPA EPSiT 是一种改善术后伤口管理的简单方法，可促进更快的康复并可能提高整体患者满意度。
