Esposito Ciro, Cerulo Mariapina, Esposito Giorgia, Turco Assunta, Borgogni Rachele, Carulli Roberto, Di Mento Claudia, Del Conte Fulvia, Coppola Vincenzo, Escolino Maria
Pediatric Surgery Unit, Federico II University of Naples, Naples, Italy.
Pediatric Cardiology Unit, Federico II University of Naples, Naples, Italy.
J Laparoendosc Adv Surg Tech A. 2023 May;33(5):512-517. doi: 10.1089/lap.2022.0564. Epub 2023 Apr 6.
Pilonidal sinus disease (PSD) is a common inflammatory disease. PSD management in pediatric patients changed dramatically in the last few years especially when concerning the latest minimally invasive techniques. This article aims to identify clinical evidence about the reliability of the different techniques in managing PSD in children. We performed a PubMed search for articles published during the last 10 years, using the keywords "pilonidal," "sinus," "disease," "pediatric," "surgery," and "children." We pooled 38 studies, 18 of these were excluded because they were either not relevant or concerned an adult population. Literature analysis shows that endoscopic techniques for PSD are superior to excision and primary closure (EPC) in terms of tolerance and postoperative conditions and, with the growing number of studies in the matter, important endpoints such as wound healing time and length of hospital stay will be proved to be superior. Pediatric Endoscopic pilonidal disease treatment showed to be a very promising alternative even from a statistical point of view, especially when considered that in this group, studies seemed to be more solid. Literature analysis showed that minimally invasive techniques were statistically superior to EPC in terms of recurrence and complications.
藏毛窦疾病（PSD）是一种常见的炎症性疾病。在过去几年中，小儿患者的PSD治疗发生了巨大变化，尤其是在涉及最新的微创技术时。本文旨在确定有关不同技术治疗儿童PSD可靠性的临床证据。我们在PubMed上搜索了过去10年发表的文章，使用了关键词“藏毛”“窦”“疾病”“儿科”“手术”和“儿童”。我们汇总了38项研究，其中18项被排除，因为它们要么不相关，要么涉及成人人群。文献分析表明，PSD的内镜技术在耐受性和术后状况方面优于切除和一期缝合（EPC），并且随着该领域研究数量的增加，诸如伤口愈合时间和住院时间等重要终点将被证明更具优势。小儿内镜下藏毛疾病治疗即使从统计学角度来看也是一个非常有前景的选择，特别是考虑到在这组研究中，研究似乎更加可靠。文献分析表明，微创技术在复发和并发症方面在统计学上优于EPC。
