EN
TÜRKÇE
Poster - 18
Minimally Invasive Surgery in Pilonidal Disease: Evaluation of the Gips Procedure in Adolescent Cases
Tunç Tığlı, hayrunnisa horozcu, İdil Rana user kılıç, Burak Ardıçlı, Saniye Ekinci
Department of Pediatric Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkiye
Purpose:Pilonidal disease is a prevalent chronic inflammatory condition in adolescents, often leading to school absenteeism and reduced quality of life. Traditional excision methods are associated with prolonged healing, postoperative pain, and high recurrence rates. Minimally invasive techniques, such as the Gips procedure, have emerged as promising alternatives. This study aimed to assess the clinical outcomes of adolescent patients treated with the Gips technique.
Methods:Retrospectively analyzed 16 adolescent patients with treated using the Gips procedure in our department. Data collected included demographics, number of sinus orifices, systemic comorbidities, postoperative care details, and recurrence rates. All procedures were performed under local anesthesia or sedation. Sinus tracts and pits were excised using cylindrical punch biopsy instruments. Postoperatively, daily wound care was performed using povidone-iodine to prevent infection and boric acid to promote epithelization.
Results:Of the 16 patients, 10 were male and 6 were female, with a mean age of 15.5 years (range: 13–18). The average number of excised sinus orifices was 1.81. All patients were mobilized within 24 hours and discharged the same day or next morning. They resumed academic and daily activities within an average of 2.3 days. Four patients had systemic comorbidities including hypertension, malignancy, prior cardiac surgery, and type 2 diabetes. Recurrence occurred in two patients (12.5%), both with more than two sinus orifices and comorbid conditions. Recurrences were late, emerging after the sixth postoperative month. Proper wound care was reinforced, and a second Gips procedure was planned for both.
Conclusion:The Gips technique is a safe and effective minimally invasive option for pilonidal disease in the pediatric and adolescent population. It allows fast recovery, low complication and recurrence rates, and is well-suited for outpatient settings. Fewer sinus tracts and absence of comorbidities are associated with better outcomes. Patients should be monitored for late recurrences and reoperation may be needed.