Laser hair removal in the complex treatment of pilonidal cyst in children

Abstract

Introduction. A pilonidal cyst (PC) in children is a common congenital pathology that manifests in the puberty period.Purpose. To improve outcomes of pilonidal cyst care in children.Materials and methods. The researchers analyzed results of surgical treatment of 156 children with PC who were hospitalized to the department of emergency and purulent surgery in Filatov Children’s City Clinical Hospital (Moscow) and in the surgical department of Republican Children’s Clinical Hospital (Izhevsk) in 2018–2020. All patients were divided into groups depending on the type of preoperative preparation.Results. Cases of 156 children with PC were assessed: 121 boys (77.56%, p 0.05) and 35 girls (22.44%). Patients’ age ranged from 13 to 18. There were two groups. In Group 1 (n = 89, 57.05%), patients had dry shaving as a preoperative preparation; in Group 2 (n = 67, 42.95%), patients’ hair in the sacrococcygeal region was removed with laser technique.Conclusion. A combined technique of surgical treatment of pilonidal cysts in the coccyx in children improves outcomes, , reduces the number of complications and relapses as well as promotes early social rehabilitation and good cosmetic results.