Department of Surgery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Department of Surgery, Shifa International Hospital, Islamabad, Pakistan.
J Pak Med Assoc. 2024 Jun;74(6):1084-1088. doi: 10.47391/JPMA.9948.
To assess short-term and long-term outcomes of endoscopic pilonidal sinus treatment for pilonidal sinus disease.
The prospective study was conducted at Shifa International Hospital, Islamabad, Pakistan, from July 2015 to July 2021, and comprised all pilonidal sinus cases undergoing minimal invasive endoscopic pilonidal sinus treatment who were treated by a single surgical team. The primary outcomes were duration of healing, post-operative morbidities, persistence of discharge and recurrence at 1-7 years. The secondary outcomes were operative time, return to work, cosmetic results and patient satisfaction. The patients were observed for wound healing and discharge on follow-up in the out-patient department at 1, 3, 6 and 24 weeks. They were further followed up every year through telephonic survey for persistence or recurrence of symptoms. Patient satisfaction was assessed using the 36-item Short Form Survey questionnaire filled at admission and then at 6 weeks post-surgery. Data was analysed using SPSS 23.
Of the 67 patients, 55(82%) were males and 12(18%) were females. The overall mean age was 25.69±8.305 years. There were 13(19.4%) patients with a history of recurrent disease and previous procedures for pilonidal sinus, while 54(80.6%) had no previous surgery. The median operative time was 35 minutes (interquartile range: 20-45 minutes). Complete wound healing was achieved in 60(89.6%) patients, while recurrence was seen in 7(10.4%). The median time off work was 2.5 days (interquartile range: 1-3 days). Patient satisfaction with the procedure was significantly high (p<0.05).
Endoscopic pilonidal sinus treatment appeared to be a good minimally invasive surgical technique for the treatment of pilonidal sinus disease in terms of both short-term and long-term outcomes.
评估内镜治疗藏毛窦疾病的短期和长期疗效。
本前瞻性研究于 2015 年 7 月至 2021 年 7 月在巴基斯坦伊斯兰堡 Shifa 国际医院进行，纳入所有接受微创内镜藏毛窦治疗的藏毛窦病例，这些病例均由单一手术团队进行治疗。主要结局指标为愈合时间、术后并发症、排液持续时间和 1-7 年复发率。次要结局指标为手术时间、恢复工作时间、美容效果和患者满意度。在门诊对患者进行随访，观察伤口愈合和排液情况，随访时间分别为术后 1、3、6 和 24 周。然后通过电话调查每年随访一次，了解症状持续或复发情况。通过入院时和术后 6 周填写的 36 项简短表格调查评估患者满意度。采用 SPSS 23 进行数据分析。
67 例患者中，男性 55 例（82%），女性 12 例（18%）；平均年龄为 25.69±8.305 岁。13 例（19.4%）患者有复发性疾病和既往藏毛窦手术史，54 例（80.6%）患者无既往手术史。中位手术时间为 35 分钟（四分位距：20-45 分钟）。60 例（89.6%）患者完全愈合，7 例（10.4%）患者复发。中位休工时间为 2.5 天（四分位距：1-3 天）。患者对手术的满意度明显较高（p<0.05）。
内镜治疗藏毛窦疾病在短期和长期疗效方面均为一种较好的微创外科技术。
