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EPSiT / Pilonidal sinus treatment

EPSiT – Endoscopic Pilonidal Sinus Treatment

Instruments can also be used to treat anal fistulas (VAAFT technique).

The pilonidal sinus is an acute or chronic inflammation of the subcutaneous adipose tissue, often occurring in the sacrococcygeal region1. EPSiT – Endoscopic Pilonidal Sinus Treatment – proceeds in two phases. In the first – diagnostic – phase, the sinus cavity and the sinus tracts are examined. The aim of the second – therapeutic – phase is to ablate the abscess cavity and to eliminate the fistula2. Both phases are performed under direct endoscopic control.


  • The EPSiT technique can be performed in an outpatient setting
  • Ablation of the abscess cavity and elimination of the fistula under direct vision
  • High patient satisfaction3
  • Straightforward, safe, effective and reproducible method of treatment3
Sources:
1 AWMF Summary of the S3 Guidelines 081/009: Sinus pilonidalis
2 Endoscopic Pilonidal Sinus Treatment: A Prospective Multicentre Trial. P. Meinero et al., 2016
3 Endoscopic Pilonidal Sinus Treatment, Giarratano G et al., 2017