Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

• Published in: Journal of Coloproctology 2020-03, Vol.40 (1), p.24-30
• Main Authors: Porwal, Ashwin, Gandhi, Paresh, Kulkarni, Deepak
• Format: Article
• Language: English
• Subjects: Cisto pilonidal; GASTROENTEROLOGY & HEPATOLOGY; Laser pilonidoplasty; Original Article; Pilonidal cyst; Pilonidal sinus; Pilonidoplastia a laser; Pilonidotomia sacrococcígea; Recurrent pilonidal sinus; Sacrococcygeal pilonidotomy; Seio pilonidal; Seio pilonidal recorrente; SURGERY
• ISSN: 2237-9363; 2317-6423; 2317-6423
• DOI: 10.1016/j.jcol.2019.10.007

The treatment of pilonidal sinus disease still remains challenging mainly because of multiple factors responsible for wound healing and its recurrence. With recent advances in surgical field, use of laser found to be an effective technique in the destruction of a pilonidal cyst. Laser Piolonidotomy is a new promising technique. An exploratory study was planned with the Aim, to evaluate a new technique for the excision of pilonidal sinus. Objectives were to investigate its effectiveness in terms of operation time, healing time, and the duration of hospitalization, resumption of normal activity the degree of postoperative complications and rate of recurrence and patient’s satisfaction. All the patients with pilonidal sinus were categorized and laser pilonidotomy was planned for patients satisfying inclusion criteria. Data collected in pre-structured, pre-tested proforma and analyzed using SPSS. Mean duration of Procedure was 33 min (SD = 11), mean duration of Hospital Stay was 12 h (SD = 3), resumption of normal activity within 4 days (SD = 2), mean duration for Complete Wound Healing by secondary intention 6 Weeks (SD = 1.25). Among complications, infection reported in 1.08%. The difference between the mean pre and post-operative VAS score was statistically highly significant (p