Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol
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Read the article on jpedsurg.org ↗Article · Oct 2019 · 1 min read
In brief
In brief
Comparative study evaluating a minimally invasive pilonidal protocol (hygiene, laser epilation, sinusectomy) versus traditional surgical excision in adolescents. The MIPP approach reduced OR time by 90% and achieved superior healing rates (82% vs 18%) with comparable care duration and visit frequency.
Written by the GCMD Library team from the article.
Purpose
The purpose of this study was to evaluate the resource utilization and outcome of a minimally invasive pilonidal protocol (MIPP) versus surgical excision (SE) in adolescents with pilonidal disease.
Methods
Improved hygiene, laser epilation (LE), and sinusectomy were implemented as a minimally invasive pilonidal protocol (MIPP) in March 2016. Following IRB approval, 34 consecutive MIPP patients with moderate and severe disease were compared with a random sample of 17 SE patients treated prior to MIPP implementation. Number of visits, laser epilation (LE) treatments, care duration, operations, operating room (OR) time, charges, and condition at last visit were analyzed. Charges were standardized for 2018.
Results
No differences were found in age or body mass index between groups. SE patients underwent an average 1.6 excisions/patient (cumulative 2598 OR minutes) and no LE. MIPP patients underwent an average 1.4 sinusectomies and 3.5 LEs/patient. Six sinusectomies (0.17/patient) were performed in OR (cumulative 258 OR minutes). No differences in number of visits or care duration were found between groups. At last follow-up, 82% of MIPP and 18% of SE patients were healed or asymptomatic (p