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Document Type

Original Article

Abstract

Background: Pilonidal sinus (PNS) is defined as a tract or cavity in subcutaneous tissue of natal cleft of the sacrococcygeal area. PNS usually complicated by repeated infection and chronic inflammation. It is a widespread condition with a reported incidence of 26 per 100,000. Despite being a benign illness, it limits patients' everyday activities due to discomfort, discharge, and occasionally unpleasant odder.

Aim of the study: The purpose of this research is to assess the efficacy of laser ablation as a less invasive method for treating PNS.

Patients and methods: This case series study was performed on 30 patients collectively who exhibited persistent PNS symptoms using a 1470 diode laser from March 2022 to June 2022 at El-Sayed Galal University Hospital and Nasr City Insurance Hospital.

Results: The operative time was 14.6±3.4 minutes and common operation duration was ≤15.0 minutes (63.3%) with hospital stay duration was 11.7±4.1 hours. Post-operative pain VAS score was 3.1±1.0 with majority of cases were ≤3.0 (66.7%). Infection was the most frequent postoperative complications (13.3%), followed by seroma (6.7%), then hematoma (3.3%).

Conclusion: Laser ablation of the PNS is a straightforward, less invasive operation that is simple to carry out under spinal anesthesia and is successful in achieving rapid wound healing with little chance of complications. Additional advantages include a brief hospital stay and an early return to regular daily routine.

Keywords

Laser Ablation; Pilonidal Sinus; Treatment.

Subject Area

General Surgery

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