Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis.

@article{Hardy2019SurgicalIF,
  title={Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis.},
  author={Edward John Oliver Hardy and Philip James Joseph Herrod and Brett Doleman and Hannah G Phillips and Reesha Ranat and Jonathan N. Lund},
  journal={Journal of pediatric surgery},
  year={2019}
}
BACKGROUND Pilonidal sinus disease (PNS) is not uncommon in children. Controversy remains over the best treatment and there is limited evidence. This systematic review and meta-analysis aims to establish which techniques have the best outcomes in children. METHODS MEDLINE, EMBASE and CENTRAL databases were searched. Studies reporting treatment outcomes for PNS in children were included. RESULTS Open healing has pooled risk of recurrence of 26% (95%CI 15-38%), risk of wound complication of… 
Management of sacrococcygeal pilonidal sinus disease in children: A survey study in Turkey
TLDR
Turkish pediatric surgeons do not have a common opinion in pilonidal sinus disease and prefer surgical excision methods more frequently, and Prospective randomized studies with bigger number of patients are required to establish common guidelines in disease management.
Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis
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In network meta-analysis, modified Limberg flap and off-midline closure were associated with the lowest recurrence rate and could be two promising surgical interventions for PSD patients.
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TLDR
This mapping review summarises eight decades of research on the management of pilonidal sinus and highlighted comparison of surgical techniques including flaps, laser depilation, and wound care interventions as potential areas for randomised controlled trials.
Initial experience with minimally invasive treatment of pilonidal sinus in children
TLDR
Preliminary results show that PEPSiT is a highly promising method that is safe and well-tolerated by patients (short hospital stay, quick return to normal life, low pain and analgesic consumption).
Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery
TLDR
In adolescents with non-complex and uncommon SPS disease, MEPC procedure may be offered as an alternative treatment option to LF, which has similar success rates in terms of recurrence, complications and patient satisfaction compared with LF.
Inverted 'ᗡ' Technique without Loss of Skin Tissue Compared to Classical Open Surgery Technique in Pediatric Pilonidal Sinus Disease
TLDR
The inverted 'ᗡ' technique which provides a tension-free closure with minimal tissue loss is evaluated and should be considered as the first choice in the pediatric patient group because of being a simple and effective surgical technique for sacrococcygeal pilonidal disease treatment.
Less invasive treatment for the pilonidal sinus combined use of negative-pressure wound therapy
TLDR
Positive-pressure wound therapy (NPWT) is advantageous in that it is simple, reliable for closing the dead space, only slightly invasive, and leaves less obvious operative scars, although it required a two-stage operation.
Combination of Side-Swing Flap With Negative-Pressure Wound Therapy Is Superior to Open Excision or Flap Alone in Children With Pilonidal Sinus—But at What Cost?
TLDR
Management of PS disease using slide-swing plasty in combination with negative-pressure wound therapy (NPWT) is an effective treatment and is associated with low recurrence rate and minimal morbidity, however, this type of treatment is accompanied by an elongated hospitalization time and more frequent interventions.
Örebro HTA-rapport 2021 : 43 n
Background Surgical treatment is recommended for chronic pilonidal sinus disease but a number of different procedures are available. The choice of method has implications not only for individual
Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time
TLDR
The goal was to present results from operated patients, with a focus on the original Limberg flap, which was standardized for the first time.
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