Efficacy and Outcomes of Laser Treatment in Pilonidal Sinus Disease

Year 2024, , 120 - 123, 22.01.2025

Merter Gülen , Ahmet Cihangir Emral

https://doi.org/10.20492/aeahtd.1535436

Abstract

AIM: In recent years, minimally invasive treatment methods have introduced significant innovations in the surgical management of pilonidal sinüs disease. This study aims to comprehensively evaluate the efficacy of laser treatment for pilonidal sinus disease, focusing on treatment success, recurrence rates, complications, and patients' return to normal life.
MATERIAL AND METHOD: In this study, data from patients treated with laser ablation for pilonidal sinus disease between August 2020 and August 2023 were retrospectively analyzed. Patients aged 18-40 who were treated with laser for pilonidal sinus disease were included in the study. Patients with recurrence, those who had undergone chemotherapy/radiotherapy in the anorectal or sacrococcygeal region, those with concurrent malignancies, those with a history of inflammatory bowel disease, those on chronic steroids, diabetics, and patients with autoimmune diseases were excluded from the study.
RESULTS: A total of 49 patients (5 females, 44 males) who underwent laser ablation for pilonidal sinus disease were included in the study. It was found that 16 (32.7%) of the included patients had a history of abscess drainage due to pilonidal sinus disease. In the postoperative period, the median (min-max) wound healing time was 28 (20-52) days. A total of 4 patients (8.3%) experienced recurrence.
CONCLUSION: Considering pilonidal sinus disease as a subcutaneous infectious condition, laser ablation should be regarded as one of the primary treatment options for pilonidal sinus surgery, given its acceptable recurrence rates, low complication risk, rapid return to normal activities, and cosmetic advantages.
Keywords: laser, pilonidal sinus disease, minimally invasive

Keywords

laser, pilonidal sinus disease, minimally invasive

Pilonidal Sinüs Hastalığında Lazer Tedavisinin Etkinliği ve Sonuçları

Abstract

AMAÇ: Son yıllarda, minimal invaziv tedavi yöntemleri pilonidal sinüs hastalığının cerrahi yönetiminde önemli yenilikler getirmiştir. Bu çalışmanın amacı, pilonidal sinüs hastalığında lazer tedavisinin etkinliğini, tedavi başarısı, nüks oranları, komplikasyonlar ve hastaların normal yaşantıya dönüş süresi açısından kapsamlı bir şekilde değerlendirmektir.
GEREÇ VE YÖNTEM: Bu çalışmada, Ağustos 2020 ile Ağustos 2023 arasında pilonidal sinüs hastalığı nedeniyle lazer ablasyon yöntemiyle tedavi edilen hastaların verileri retrospektif olarak incelendi. 18-40 yaş arası pilonidal sinüs hastalığı nedeniyle lazer ile tedavi edilen hastalar çalışmaya dahil edildi. Nüks yaşayan hastalar, anorektal veya sakrokoksigeal bölgede kemoterapi/radyoterapi uygulanan hastalar, eş zamanlı malignitesi olan hastalar, inflamatuar barsak hastalığı öyküsü bulunan hastalar, kronik steroid kullanan hastalar, diabeti olan hastalar ve otoimmün hastalığı bulunan hastalar çalışma dışı bırakıldı.
BULGULAR: Toplamda 49 hasta (5 kadın, 44 erkek) pilonidal sinüs hastalığı nedeniyle lazer ablasyon tedavisi uygulandı. Dahil edilen hastalardan 16'sında (%32.7) daha önce abse drenajı öyküsü olduğu belirlendi. Postoperatif dönemde, median (min-maks) yara iyileşme süresi 28 (20-52) gün olarak görüldü. Toplamda 4 hastada (%8.3) nüks gözlemlendi.
SONUÇ: Pilonidal sinüs hastalığını subkutanöz enfeksiyöz bir durum olarak değerlendirildiğinde, lazer ablasyon, kabul edilebilir nüks oranları, düşük komplikasyon riski, hızlı normal yaşantıya dönüş ve kozmetik avantajları nedeniyle pilonidal sinüs cerrahisi için ilk tercih edilecek tedavi yöntemlerinden biri olarak kabul edilebilir.
Anahtar kelimeler: lazer, pilonidal sinüs hastalığı, minimal invaziv

Keywords

lazer, pilonidal sinüs hastalığı, minimal invaziv

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