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Endoscopic pilonidal sinus treatment (E.P.Si.T.): a minimally invasive approach Study conducted at Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.

Tratamento endoscópico do cisto pilonidal (E.P.Si.T.): Uma abordagem minimamente invasiva

INTRODUCTION:

The pilonidal cyst is a chronic inflammatory process that occurs frequently in the sacrococcygeal region. It is more common in males with a ratio of 3:1 and usually presents itself in the third decade of life. The treatment is mainly surgical with various forms. The search for new technologies as well as for a minimally invasive treatment has become of utmost importance in surgical routines. The technique E.P.Si.T. (endoscopic treatment of pilonidal cyst) developed by Meneiro has been quite interesting in the treatment of pilonidal cysts.

SURGICAL TECHNIQUE:

Anesthetized the patient in the supine position. Identified the drainage hole of the cyst, and began with the passage of fistuloscope studying the path of the cyst. Performs following the removal of all the tissue inside as the hair followed by cauterization of the path. Removed all devitalized tissue and enlargement of the opening of the cyst.

Pilonidal disease; Pilonidal sinus; Fistuloscope


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