EPSiT (Endoscopic Pilonidal Sinus Treatment) is performed under local anesthesia and oral sedation. The external opening is excised and the endoscope is introduced through a small hole. Anatomy is identified, hair and debris are removed and the entire area is ablated under direct vision.
There are no significant complications; the pain during the postoperative period is minimal with low recurrence rates.
All patients are admitted and discharged on the same day as surgery and commenced work again after a mean time period of 4 days.
Aesthetic results are excellent. The key feature of the EPSiT technique is direct vision, allowing a good definition of the involved area, removal of debris and cauterization of the inflamed tissue (Meinero P, Mori L, Galoli G. Endoscopic pilonidal sinus treatment (E.P.Si.T.). Tech Coloproctol2014 Apr;18(4):389-92).