A Prospective Study of Outcome of GIPS Procedure as Minimal Invasive Surgical Approach for Pilonidal Sinus

Background: Pilonidal sinus disease (PSD) is a chronic inflammatory condition predominantly affecting young adult males. Traditional surgical methods often result in high morbidity and recurrence. Minimally invasive techniques like GIPS procedure aim to improve outcomes with reduced complications and faster recovery. Aim: To evaluate the efficacy of the GIPS procedure in managing pilonidal sinus disease in terms of recurrence, postoperative pain, wound healing, and complications. Methods: This prospective observational study was conducted at SMS Medical College, Jaipur, from Sept 2023 to Dec 2024. Fifty patients diagnosed with PSD underwent the GIPS procedure. Data on demographics, clinical features, operative findings, postoperative pain (VAS), wound healing, complications, recurrence, return to daily activities, and patient satisfaction were collected over a 6-month follow-up. Results: The mean age was 24.6 ± 4.3 years, with 84% male patients. Most (56%) had sedentary occupations. Pain and discharge were the predominant symptoms. By 6 weeks, 88% achieved complete healing, reaching 100% by 3 months. Pain scores significantly decreased from 5.8 at week 1 to 0 at 6 months (p < 0.001). Minor complications were limited (8% infection, 4% serous discharge). Recurrence was observed in only one case (2%) at 6 months. Most patients (80%) resumed normal activities within 2 weeks, and 88% reported excellent satisfaction. Conclusion: The GIPS procedure is a safe, effective, and minimally invasive approach for PSD, offering low recurrence, rapid healing, minimal pain, and high patient satisfaction. It is a promising alternative to conventional surgical techniques.