University of Naples Federico II.
Division of Pediatric Surgery, Federico II University of Naples, Naples.
Pediatr Med Chir. 2022 Mar 15;44(1). doi: 10.4081/pmc.2022.281.
Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found out that more recently minimally invasive approaches have been described. In particular, the mechanism of an endoscopic approach relies on the use of the endoscope without cutaneous tissue damage. Advantages include shorter operative time and time to discharge, which impact resource management in both primary and secondary care: patients undergoing endoscopic technique have a high satisfaction rate, probably due to the low level of postoperative pain and early return to daily activities. Published results of studies of newer approaches have demonstrated a lower short and long-term complication rate compared to open surgery. However, very poor reports are available in literature about pediatric population.
藏毛窦是一种常见的会阴部疾病，可导致感染和脓肿形成等并发症。目前有多种手术技术可用于治疗该疾病，但哪种技术为理想方法仍存在争议。我们分析文献后发现，最近已经有微创方法被报道。具体来说，内镜手术的机制依赖于在不破坏皮肤组织的情况下使用内镜。其优点包括手术时间和出院时间更短，这对初级和二级保健的资源管理都有影响：接受内镜技术的患者满意度较高，这可能是由于术后疼痛程度低和能够更早地恢复日常活动。与开放性手术相比，发表的新方法的研究结果显示其短期和长期并发症发生率较低。然而，关于儿科人群的文献报道非常少。
