{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:06:20Z","timestamp":1790251580119,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic pilonidal sinus treatment (EPSiT) may reduce recovery burden, but comparative data against contemporary excisional practices in Australia are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of consecutive elective pilonidal operations in patients aged\u2009\u2265\u200912 at a tertiary Australian hospital (January 2018\u2013May 2025). Analyses were performed at the operative episode level, including repeat procedures. EPSiT was compared with excisional surgery (off\u2010midline flap closure, lay\u2010open excision or primary closure). The primary outcomes were primary healing and recurrence after healing. Secondary outcomes were same\u2010day discharge and opioid prescription at discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort included 180 elective operative episodes in 144 patients: 115 EPSiT (63.9%) and 65 excisional (36.1%). Primary healing occurred in 158 episodes (87.8%) and did not differ between EPSiT and excision (89.6% vs. 84.6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.330). Recurrence occurred in 26.6% and was similar between groups (29.1% vs. 21.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.322). EPSiT was associated with higher same\u2010day discharge (86.1% vs. 21.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and lower opioid prescribing at discharge (2.6% vs. 63.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the subgroup with prior emergency I&amp;D (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200966), primary healing remained similar (89.5% vs. 85.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.644), but recurrence after healing was higher following EPSiT (47.1% vs. 20.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EPSiT achieved similar primary healing and recurrence to excisional surgery while enabling ambulatory care and opioid\u2010sparing discharge. Prior abscess I&amp;D was associated with higher recurrence after EPSiT despite comparable primary healing, supporting tailored counselling and selective EPSiT use when long\u2010term durability is prioritised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70737","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T13:28:41Z","timestamp":1778506121000},"page":"2665-2670","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Pilonidal Sinus Treatment Versus Excisional Surgery: A Retrospective Comparison at an Australian Tertiary Centre"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9347-4488","authenticated-orcid":false,"given":"Su Su","family":"Hlaing","sequence":"first","affiliation":[{"name":"General Surgery Department The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4042-6999","authenticated-orcid":false,"given":"Harine","family":"Siribaddana","sequence":"additional","affiliation":[{"name":"General Surgery Department The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harish","family":"Iswariah","sequence":"additional","affiliation":[{"name":"General Surgery Department The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Yuide","sequence":"additional","affiliation":[{"name":"General Surgery Department The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0373"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znae237"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2013.05.006"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1272823"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1807-59322010000200002"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znae009"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001237"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-20143-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16482"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.17152"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1016-9"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.5233"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.07.050"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.812128"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6157-5"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000031767"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.23736\/s2724-5691.25.10615-1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17666"},{"key":"e_1_2_7_20_1","unstructured":"L.Straker P.Coenen D.Dunstan N.Gilson andG. 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