Comparative study between primary closure, reconstruction flap, and a 1470-nm diode laser for pilonidal sinus surgery

Abstract

Background and Aim Pilonidal sinus disease (PD) affects youngsters and is more recorded in males. Although a wide variety of treatment modalities to manage this disorder are still in use in everyday surgical practice, nevertheless, there was no consensus to which of those procedures is closer to perfect in providing definitive management. With recent advances in surgery, application of the laser was found to be an effective approach in the treatment of PD. The aim was to compare the outcome of management of PD by excision andprimary closure, excision and reconstruction by flap, and a 1470-nm diode laser, and to analyze its effectiveness, postoperative complications, recurrence rate, and satisfaction of the patient. Patients and methods This prospective comparative study between three methods of treatment of pilonidal sinus was made. This study includes 45 cases presented with PD disease: they are divided randomly into three groups. Group A (15 patients) was subjected to pilonidal excision and primary direct closure, while group B (15 patients) was subjected to pilonidal excision and local flap reconstruction, and group C (15 patients) was subjected to a 1470-nm diode laser. Results A significant difference was found to be between three groups regarding the duration of surgical procedures (in minutes). As regards to diode laser, all 15 cases had been managed efficiently on an outpatient procedure. Only one recurrent case was recorded. Conclusion Laser pilonidotomy is effective in the treatment of PD with a high rate of success, less complications, and high satisfaction of the patient.