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Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series

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Pilonidal disease is a troublesome acquired condition for whom various surgical treatments have been proposed with relatively high recurrence and complication rates. Since EPSiT technique has been described in 2013, it became an alternative treatment in adult practice. Our study reports the results of a multicentre series of pediatric patients who underwent EPSiT procedure over a 21-month period.


Between July 2015 and March 2017, all consecutive patients undergoing EPSiT in four different pediatric surgical units have been enrolled. Details regarding demographic data, detailed surgical procedure, outcome and complications have been recorded.


A total of 43 patients underwent EPSiT procedure. Mean age was 15 years. There was a slight female preponderance. Mean weight and height at surgery were 67 kg and 168 cm, respectively. In 14% of cases a previous ineffective procedure was performed. Mean length of procedure was 34 min and median hospital stay was 24 h (12–72 h). Median length of follow-up was 4 months (range 3–18 months). Complications leading to reoperation were reported in 9% of cases with an overall resolution rate of 88%.


EPSiT proved to be feasible and safe even in the pediatric population. The effectiveness and safety of the procedure suggest that this technique can represent a valid alternative for the treatment of pilonidal disease in children.

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Author information

Authors and Affiliations



APP designed the study and drafted the manuscript, CM, GM, ME, CE, AD, LCA, LL, CC and FR enrolled patients and collected notes and details from each participating surgical unit, PCM revised the drafts of the final version of the paper.

Corresponding author

Correspondence to Alessio Pini Prato.

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Ethical approval

Not requested nor needed (procedure already adopted either in adults and pediatrics).

Conflict of interest

The author Meinero PC is a consultant for Karl Strotz (Karl Stortz, 78532 Tuttlingen, Germany) and patented and invented the fistuloscope used in most centers to perform EPSiT and VAAFT procedures. All other authors declare that they have no competing interests.

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Pini Prato, A., Mazzola, C., Mattioli, G. et al. Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series. Pediatr Surg Int 34, 687–692 (2018).

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