The application of EPSiT in pilonidal sinus disease: an international Delphi consensus study endorsed by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI) - Summary - MDSpire

The application of EPSiT in pilonidal sinus disease: an international Delphi consensus study endorsed by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI)

  • By

  • H. K. Sekhon Inderjit Singh

  • P. Meinero

  • F. C. Campanile

  • A. Quddus

  • R. Rajaganeshan

  • J. Warusavitarne

  • V. Dotlacil

  • A. Bhargava

  • P. Giordano

  • A. Pini Prato

  • V. Shatkar

  • P. Jalali

  • V. C. Halahakoon

  • G. Gallo

  • M. Milone

  • S. Mantoo

  • C. A. Leo

  • C. Esposito

  • M. Farghaly

  • T. Arulampalam

  • N. Pawa

  • July 30, 2025

  • 0 min

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Objective:

To develop recommendations and a protocol to standardize and improve the uptake of endoscopic pilonidal sinus treatment (EPSiT) for pilonidal sinus disease (PD), focusing on addressing existing barriers.

Key Findings:
  • EPSiT and VAAPS are minimally invasive techniques with reduced complications compared to traditional surgeries.
  • Despite benefits, EPSiT uptake in the UK is low, with only 7% of cases from 2019 to 2022 utilizing this method, highlighting significant barriers to adoption.
  • Concerns regarding the technique's effectiveness in primary and recurrent disease contribute to slow adoption.
Interpretation:

The study highlights the need for standardized protocols to enhance the adoption of EPSiT, addressing existing ambiguities, training gaps, and barriers to implementation.

Limitations:
  • The study's findings are based on expert opinions and may not reflect broader surgical practice, potentially limiting generalizability.
  • Potential biases in participant selection and response may affect the consensus outcomes, impacting the reliability of the recommendations.
Conclusion:

The Delphi consensus aims to facilitate the integration of EPSiT into clinical practice, promoting its use as a preferred treatment for pilonidal sinus disease by addressing identified barriers.

Original Source(s)

The application of EPSiT in pilonidal sinus disease: an international Delphi consensus study endorsed by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI)

  • by H. K. Sekhon Inderjit Singh, P. Meinero, F. C. Campanile, A. Quddus, R. Rajaganeshan, J. Warusavitarne, V. Dotlacil, A. Bhargava, P. Giordano, A. Pini Prato, V. Shatkar, P. Jalali, V. C. Halahakoon, G. Gallo, M. Milone, S. Mantoo, C. A. Leo, C. Esposito, M. Farghaly, T. Arulampalam, N. Pawa

  • July 30, 2025

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