A New Laser-Assisted Pilonidal Sinus Excision Surgical Technique. Presentation of First 368 Cases: Short- and Mid-Term Results

Abstract

Pilonidal sinus disease (PSD) is a common skin and soft tissue infection of the gluteal area. Numerous surgical and other less invasive techniques in the treatment of this condition have been proposed over the years. Management of PSD though, remains a challenge for modern surgery due to high rates of recurrence and treatment-associated morbidity. In this study, we present the short and mid-term results of our novel method, Laser assisted Pilonidal Sinus excision (LaPSe method). A total cohort of 368 patients, 310 males and 58 females, median age 21 years, underwent LaPSe surgery for PSD, from January 2018 to January 2024. Follow up was obtained by clinical examination and phone call interview over a six-month period. All patients underwent the operation uneventfully. Short term complications were recorded in 9 patients (5 cases bleeding, 4 cases site infection) all treated conservatively. Delayed healing was documented in 12 patients and 5 of them required re-operation (1,4% recurrence rate). These highly promising results in a large cohort are making LaPSe method a potential treatment of choice for pilonidal disease.