EPSIT for Pilondal Sinus

Endoscopic Pilonidal Sinus Treatment (EPSiT) is a new treatment performed at PPEV Surgical Clinics. It is less invasive surgery using a tiny camera to explore the sinus. The internal lining of sinus is safely burnt (cauterised) and cleaned with a brush. Some people will need more than once EPSiT for complete healing of sinus. This procedure is often performed as a day-case procedure under a brief general, spinal anaesthetic (awake anaesthesia with a needle injection into the back for patients with significant heart or lung diseases) or under local anaesthesia in selected patients.

The benefits of EPSiT compared to traditional surgical removal of sinus are:

– The surgeon can see the sinus (tunnel) using a tiny camera. It helps to identify complex
sinus with branching tunnels and abscesses
-The natal cleft is not affected
– Wounds are quite small and don’t need insertion of packing material
– People have less pain after the procedure and can go back to work and daily life much
faster
– It can be performed under local anaesthesia