Pilonidal Excision Versus Endoscopic Surgery

Pilonidal Excision Versus Endoscopic Surgery

Compare clinical outcomes of endoscopic pilonidal sinus treatment (EPSiT) with excision treatment with a randomised clinical trial.

Primary outcome: complication rate Secondary outcomes: Quality of life, recurrence rate, length of stay, post operative pain (NRS), return to work time, time to complete wound healing, resource use.

Allocation ratio 2:1

Inclusion Criteria:

• ASA I or II
• Pilonidal disease <3 previous treatments
• Previous incision and drainage allowed
• Over 16 years

Exclusion Criteria:

• Co-morbidity >ASA II
• Unable to consent themselves
• Under 16 years
• Vulnerable adults