Comparison of Outcome after Open Pilonidal Sinus Treatment Versus Endoscopic Pilonidal Sinus Treatment (EPSIT)

Objective: To compare the complications among open pilonidal sinus treatment versus endoscopic pilonidal sinus treatment (EPSIT). Study Design: Comparative Cross-sectional Study. Place and Duration of Study: Department of Surgery, Combined Military Hospital, Rawalpindi Pakistan, form Feb to Nov 2021.   Methodology: The study was conducted on 150 patients who underwent pilonidal sinus treatment at our surgical unit. Patients were randomly divided into two groups. Group-A underwent open pilonidal sinus surgery, while Group-B underwent endoscopic pilonidal sinus treatment (EPSIT). Recurrence, bleeding, seroma formation and occurrence of wound infection were compared in both groups. Results: All of the 150 patients included in the final analysis were males. The mean age of patients who underwent surgery for pilonidal sinus in our study was 41.22±9.34 years. 79(43%) patients underwent the open surgical method, while 71(57%) underwent the endoscopic one. All the complications were found statistically significant (p-value<0.05) in patients who underwent open surgical procedures for pilonidal sinuses compared to those who underwent endoscopic surgical methods. Conclusion: Endoscopic pilonidal surgery emerged as a better option than open pilonidal surgery. Patients undergoing open pilonidal surgery were more at risk of bleeding, recurrence, developing seroma and wound infections.