StayCurrentMD · Comparison of Endoscopic Pilonidal Sinus Treatment Combined With Platelet-Rich Plasma and Excision With Primary Closure in Pediatric Patients: A Retrospective Comparative Cohort Study on Short-Term Outcomes
Article1 min read·Published Sep 2025

Comparison of Endoscopic Pilonidal Sinus Treatment Combined With Platelet-Rich Plasma and Excision With Primary Closure in Pediatric Patients: A Retrospective Comparative Cohort Study on Short-Term Outcomes

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Article · Sep 2025 · 1 min read

In brief

In brief

This retrospective study compares two surgical approaches for treating pilonidal sinus disease in pediatric patients: endoscopic treatment with platelet-rich plasma versus traditional excision with primary closure. The research addresses the clinical challenge of selecting optimal surgical techniques to minimize recurrence and recovery time in adolescents.

  • Pilonidal sinus disease in adolescents frequently recurs and causes prolonged recovery despite multiple surgical options.
  • Endoscopic treatment with platelet-rich plasma (EPSIT + PRP) represents a minimally invasive alternative to traditional excision.
  • Excision with primary closure (EPC) remains a standard surgical approach but optimal pediatric treatment is still debated.
  • Short-term outcome comparison is essential to guide surgical decision-making in pediatric pilonidal sinus cases.

Written by the GCMD Library team from the article.

Pilonidal sinus disease (PSD) is a common condition in adolescents, often resulting in recurrence, prolonged recovery, and significant discomfort. Although multiple surgical approaches exist, the optimal treatment for pediatric patients remains unclear. This study aimed to compare the short-term outcomes of endoscopic pilonidal sinus treatment combined with platelet-rich plasma application (EPSIT + PRP) and excision with primary closure (EPC) in children and adolescents with PSD.

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