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Endoscopic Pilonidal Sinus Treatment in the Asian Population

Chia, Clement L. K. MRCS (Ed)*; Tay, Vivyan W. Y.; Mantoo, Surendra K. FRCS (Ed)*

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: June 2015 - Volume 25 - Issue 3 - p e95–e97
doi: 10.1097/SLE.0000000000000131
Online Articles: Original Articles

Introduction: This study aims to evaluate the early results of endoscopic pilonidal sinus treatment (EPSiT) in the Asian population and illustrate the surgical technique and its modifications by a video presentation (Supplemental Digital Content 1,

Materials and Methods: Retrospective review of 9 patients with pilonidal sinus disease treated with EPSiT is performed in a single institution. Surgical outcomes of sinus healing, pain, and discharge were reviewed in the outpatient clinic and patient satisfaction levels were assessed through a standardized phone interview.

Results: The median age was 24 years (range, 16 to 41 y). The median duration of follow-up was 2.5 months (range, 1 to 5 mo). Median duration of sinus healing is 6 weeks (range, 2 to 7 wk). One patient had pain despite sinus healing. Satisfaction rate was 78% (7/9).

Conclusions: EPSiT is a minimally invasive and cosmetically favorable procedure. A larger sample size and a longer follow-up is required to determine if it improves healing time and long-term recurrence rate.

Supplemental Digital Content is available in the text.

*Department of General Surgery, Khoo Teck Puat Hospital

Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website,

The authors declare no conflicts of interest.

Reprints: Clement L. K. Chia, MRCS (Ed), Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore (e-mail:

Received January 6, 2015

Accepted January 22, 2015

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