Outcomes of Two Treatments for Uncomplicated Pilonidal Sinus Disease: Karydakis Flap Procedure and Sinus Tract Ablation Procedure Using a 1,470 nm Diode Laser Combined With Pit Excision

• Published in: Lasers in surgery and medicine 2020-11, Vol.52 (9), p.848-854
• Main Author: Yardimci, Veysi Hakan
• Format: Article
• Language: English
• Subjects: 1,470‐nm diode laser; Humans; karydakis; laser ablation; Lasers, Semiconductor - therapeutic use; minimally invasive surgery; Neoplasm Recurrence, Local; Patient Satisfaction; pilonidal sinus; Pilonidal Sinus - surgery; pit picking; Surgical Flaps
• ISSN: 0196-8092; 1096-9101
• DOI: 10.1002/lsm.23224

Background and Objectives An ideal treatment for pilonidal disease should feature a low recurrence rate, minimal incision, and rapid return to daily activities. We compared the outcomes of the well‐defined Karydakis technique (KT) and a combination of pit excision (PE) and sinus tract ablation using 1,470‐nm diode laser. Study Design/Materials and Methods In this study, from January 2016 to January 2018, patients diagnosed with uncomplicated early‐stage pilonidal sinus disease were enrolled and were treated randomly, using KT (n = 28) or a PE/laser ablation technique (PE + LAT; n = 30). Results The mean operative times were 36.4 (25–45) minutes in the KT group and 15.1 (12–20) minutes in the PE + LAT group. Postoperative Visual Analog Scale pain scores were 4.4 in the KT group and 2.1 in the PE + LAT group. The time periods to return to normal daily activities were 2.6 (1–5) days in the PE + LAT group and 12.8 (10–20) days in the KT group. The mean Likert satisfaction scores were 3.8 in the KT group and 4.8 in the PE + LAT group. The groups did not differ in terms of recurrence. Conclusions Compared with the KT, the PE + LAT was associated with a shorter operative time, a more rapid return to normal activities, less pain, and a higher level of subjective satisfaction. We found that the PE + LAT was better than the KT for patients with early‐stage disease. Lasers Surg. Med. © 2020 Wiley Periodicals, Inc.