Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease

Aim There is no standard method for the management of sacrococcygeal pilonidal disease (SPND); however, surgery remains the gold standard treatment. Wide surgical excision of the sinus is the traditional surgical treatment of SPND, yet it is associated with extended healing time and delayed recovery...

Full description

Saved in:
Bibliographic Details
Published in:Colorectal disease 2021-09, Vol.23 (9), p.2456-2465
Main Authors: Abdelnaby, Mahmoud, Fathy, Mohammad, Emile, Sameh Hany, Arnous, Mohamed, Balata, Mohamed, Abdelmawla, Ahmed, Abdallah, Emad
Format: Article
Language:English
Subjects:
Disease management
lay open
Patients
pilonidal disease
Quality of life
sinus laser therapy
Sinuses
Surgery
Wound healing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993
cites cdi_FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993
container_end_page 2465
container_issue 9
container_start_page 2456
container_title Colorectal disease
container_volume 23
creator Abdelnaby, Mahmoud
Fathy, Mohammad
Emile, Sameh Hany
Arnous, Mohamed
Balata, Mohamed
Abdelmawla, Ahmed
Abdallah, Emad
description Aim There is no standard method for the management of sacrococcygeal pilonidal disease (SPND); however, surgery remains the gold standard treatment. Wide surgical excision of the sinus is the traditional surgical treatment of SPND, yet it is associated with extended healing time and delayed recovery. This study aimed to compare the outcomes of sinus laser therapy (SiLaT) and sinus lay open in the management of SPND. Methods Patients with SPND who were treated with SiLaT or lay open were retrospectively reviewed. The main outcome measures were the success of surgery in terms of complete healing at 12 months postoperatively, time to complete healing, complications, operation time and quality of life (QoL). Results A total of 139 patients with a mean age of 25 years were included to the study. Sixty‐two patients underwent SiLaT and 77 underwent lay open. Six patients experienced recurrence after SiLaT while there was no recorded recurrence after the lay open technique (P = 0.007). Sinus lay open had a shorter operation time than SiLaT (P 
doi_str_mv 10.1111/codi.15755
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2533315408</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2533315408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993</originalsourceid><addsrcrecordid>eNp90M9PwyAUB_DGaOKcXvwLSLwYk04elJUezfy1ZMkO6pkw-jpZ2lJh1fS_l_04eZALL_Dh5fFNkmugE4jr3rjSTkDkQpwkI8imPAUO8nRfs1QWQM-TixA2lMI0BzlK1Jtt-0BqHdCT7Sd63Q3kG32Ih-F4NRDXYUtsuwOk0a1eY4PtlriKBG28M86YYY26Jp2tXWvLWJU2YGx6mZxVug54ddzHycfz0_vsNV0sX-azh0VqOM9EqhGY5CJHU5TlNDMaMskzI1flKqdMskoWnBagIdemqqiogHHBGCt5jtWqKPg4uT307bz76jFsVWODwbrWLbo-KCY45yAyKiO9-UM3rvdtnC6qGArjUrCo7g4q_i8Ej5XqvG20HxRQtcta7bJW-6wjhgP-sTUO_0g1Wz7OD29-AU_ygVo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2571823852</pqid></control><display><type>article</type><title>Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease</title><source>Wiley-Blackwell Read &amp; Publish Collection</source><creator>Abdelnaby, Mahmoud ; Fathy, Mohammad ; Emile, Sameh Hany ; Arnous, Mohamed ; Balata, Mohamed ; Abdelmawla, Ahmed ; Abdallah, Emad</creator><creatorcontrib>Abdelnaby, Mahmoud ; Fathy, Mohammad ; Emile, Sameh Hany ; Arnous, Mohamed ; Balata, Mohamed ; Abdelmawla, Ahmed ; Abdallah, Emad</creatorcontrib><description>Aim There is no standard method for the management of sacrococcygeal pilonidal disease (SPND); however, surgery remains the gold standard treatment. Wide surgical excision of the sinus is the traditional surgical treatment of SPND, yet it is associated with extended healing time and delayed recovery. This study aimed to compare the outcomes of sinus laser therapy (SiLaT) and sinus lay open in the management of SPND. Methods Patients with SPND who were treated with SiLaT or lay open were retrospectively reviewed. The main outcome measures were the success of surgery in terms of complete healing at 12 months postoperatively, time to complete healing, complications, operation time and quality of life (QoL). Results A total of 139 patients with a mean age of 25 years were included to the study. Sixty‐two patients underwent SiLaT and 77 underwent lay open. Six patients experienced recurrence after SiLaT while there was no recorded recurrence after the lay open technique (P = 0.007). Sinus lay open had a shorter operation time than SiLaT (P &lt; 0.0001). On the other hand, SiLaT was followed by a shorter healing time, lower incidence of delayed wound healing, better cosmetic outcome, and higher QoL scores compared to the lay open group. The complication rates were comparable between the two groups. Conclusion Sinus lay open was associated with better success than SiLaT. On the other hand, SiLaT was associated with quicker healing, better cosmesis, better QoL and longer operation time. The complication rate of the two procedures was comparable.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.15755</identifier><language>eng</language><publisher>Chichester: Wiley Subscription Services, Inc</publisher><subject>Disease management ; lay open ; Patients ; pilonidal disease ; Quality of life ; sinus laser therapy ; Sinuses ; Surgery ; Wound healing</subject><ispartof>Colorectal disease, 2021-09, Vol.23 (9), p.2456-2465</ispartof><rights>2021 The Association of Coloproctology of Great Britain and Ireland</rights><rights>Copyright © 2021 The Association of Coloproctology of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993</citedby><cites>FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993</cites><orcidid>0000-0001-7854-5244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Abdelnaby, Mahmoud</creatorcontrib><creatorcontrib>Fathy, Mohammad</creatorcontrib><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Arnous, Mohamed</creatorcontrib><creatorcontrib>Balata, Mohamed</creatorcontrib><creatorcontrib>Abdelmawla, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Emad</creatorcontrib><title>Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease</title><title>Colorectal disease</title><description>Aim There is no standard method for the management of sacrococcygeal pilonidal disease (SPND); however, surgery remains the gold standard treatment. Wide surgical excision of the sinus is the traditional surgical treatment of SPND, yet it is associated with extended healing time and delayed recovery. This study aimed to compare the outcomes of sinus laser therapy (SiLaT) and sinus lay open in the management of SPND. Methods Patients with SPND who were treated with SiLaT or lay open were retrospectively reviewed. The main outcome measures were the success of surgery in terms of complete healing at 12 months postoperatively, time to complete healing, complications, operation time and quality of life (QoL). Results A total of 139 patients with a mean age of 25 years were included to the study. Sixty‐two patients underwent SiLaT and 77 underwent lay open. Six patients experienced recurrence after SiLaT while there was no recorded recurrence after the lay open technique (P = 0.007). Sinus lay open had a shorter operation time than SiLaT (P &lt; 0.0001). On the other hand, SiLaT was followed by a shorter healing time, lower incidence of delayed wound healing, better cosmetic outcome, and higher QoL scores compared to the lay open group. The complication rates were comparable between the two groups. Conclusion Sinus lay open was associated with better success than SiLaT. On the other hand, SiLaT was associated with quicker healing, better cosmesis, better QoL and longer operation time. The complication rate of the two procedures was comparable.</description><subject>Disease management</subject><subject>lay open</subject><subject>Patients</subject><subject>pilonidal disease</subject><subject>Quality of life</subject><subject>sinus laser therapy</subject><subject>Sinuses</subject><subject>Surgery</subject><subject>Wound healing</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp90M9PwyAUB_DGaOKcXvwLSLwYk04elJUezfy1ZMkO6pkw-jpZ2lJh1fS_l_04eZALL_Dh5fFNkmugE4jr3rjSTkDkQpwkI8imPAUO8nRfs1QWQM-TixA2lMI0BzlK1Jtt-0BqHdCT7Sd63Q3kG32Ih-F4NRDXYUtsuwOk0a1eY4PtlriKBG28M86YYY26Jp2tXWvLWJU2YGx6mZxVug54ddzHycfz0_vsNV0sX-azh0VqOM9EqhGY5CJHU5TlNDMaMskzI1flKqdMskoWnBagIdemqqiogHHBGCt5jtWqKPg4uT307bz76jFsVWODwbrWLbo-KCY45yAyKiO9-UM3rvdtnC6qGArjUrCo7g4q_i8Ej5XqvG20HxRQtcta7bJW-6wjhgP-sTUO_0g1Wz7OD29-AU_ygVo</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Abdelnaby, Mahmoud</creator><creator>Fathy, Mohammad</creator><creator>Emile, Sameh Hany</creator><creator>Arnous, Mohamed</creator><creator>Balata, Mohamed</creator><creator>Abdelmawla, Ahmed</creator><creator>Abdallah, Emad</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></search><sort><creationdate>202109</creationdate><title>Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease</title><author>Abdelnaby, Mahmoud ; Fathy, Mohammad ; Emile, Sameh Hany ; Arnous, Mohamed ; Balata, Mohamed ; Abdelmawla, Ahmed ; Abdallah, Emad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Disease management</topic><topic>lay open</topic><topic>Patients</topic><topic>pilonidal disease</topic><topic>Quality of life</topic><topic>sinus laser therapy</topic><topic>Sinuses</topic><topic>Surgery</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdelnaby, Mahmoud</creatorcontrib><creatorcontrib>Fathy, Mohammad</creatorcontrib><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Arnous, Mohamed</creatorcontrib><creatorcontrib>Balata, Mohamed</creatorcontrib><creatorcontrib>Abdelmawla, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Emad</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdelnaby, Mahmoud</au><au>Fathy, Mohammad</au><au>Emile, Sameh Hany</au><au>Arnous, Mohamed</au><au>Balata, Mohamed</au><au>Abdelmawla, Ahmed</au><au>Abdallah, Emad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease</atitle><jtitle>Colorectal disease</jtitle><date>2021-09</date><risdate>2021</risdate><volume>23</volume><issue>9</issue><spage>2456</spage><epage>2465</epage><pages>2456-2465</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim There is no standard method for the management of sacrococcygeal pilonidal disease (SPND); however, surgery remains the gold standard treatment. Wide surgical excision of the sinus is the traditional surgical treatment of SPND, yet it is associated with extended healing time and delayed recovery. This study aimed to compare the outcomes of sinus laser therapy (SiLaT) and sinus lay open in the management of SPND. Methods Patients with SPND who were treated with SiLaT or lay open were retrospectively reviewed. The main outcome measures were the success of surgery in terms of complete healing at 12 months postoperatively, time to complete healing, complications, operation time and quality of life (QoL). Results A total of 139 patients with a mean age of 25 years were included to the study. Sixty‐two patients underwent SiLaT and 77 underwent lay open. Six patients experienced recurrence after SiLaT while there was no recorded recurrence after the lay open technique (P = 0.007). Sinus lay open had a shorter operation time than SiLaT (P &lt; 0.0001). On the other hand, SiLaT was followed by a shorter healing time, lower incidence of delayed wound healing, better cosmetic outcome, and higher QoL scores compared to the lay open group. The complication rates were comparable between the two groups. Conclusion Sinus lay open was associated with better success than SiLaT. On the other hand, SiLaT was associated with quicker healing, better cosmesis, better QoL and longer operation time. The complication rate of the two procedures was comparable.</abstract><cop>Chichester</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/codi.15755</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1462-8910
ispartof Colorectal disease, 2021-09, Vol.23 (9), p.2456-2465
issn 1462-8910
1463-1318
language eng
recordid cdi_proquest_miscellaneous_2533315408
source Wiley-Blackwell Read & Publish Collection
subjects Disease management
lay open
Patients
pilonidal disease
Quality of life
sinus laser therapy
Sinuses
Surgery
Wound healing
title Sinus laser therapy versus sinus lay open in the management of sacrococcygeal pilonidal disease
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T21%3A46%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sinus%20laser%20therapy%20versus%20sinus%20lay%20open%20in%20the%20management%20of%20sacrococcygeal%20pilonidal%20disease&rft.jtitle=Colorectal%20disease&rft.au=Abdelnaby,%20Mahmoud&rft.date=2021-09&rft.volume=23&rft.issue=9&rft.spage=2456&rft.epage=2465&rft.pages=2456-2465&rft.issn=1462-8910&rft.eissn=1463-1318&rft_id=info:doi/10.1111/codi.15755&rft_dat=%3Cproquest_cross%3E2533315408%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3345-ae128357ec9dd64ca14834c8bdb70282f893091a17acff05f1235222d37efb993%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2571823852&rft_id=info:pmid/&rfr_iscdi=true