Abstract
Background: Pilonidal sinus disease affects young people and most commonly men. Although a significant number of treatment methods to cure this disease are still in use in every-day clinical practice, there is still no consensus as to which of these methods is closer to ideal in offering definite treatment. During the last decades, a number of less invasive or non-surgical methods for pilonidal sinus treatment that were first described half a century ago have regained popularity, whilst new techniques have evolved with promising results. Methods: This small case series study including 5 patients suffering from both primary and recurrent pilonidal disease was undertaken in order to present the initial experience with the use of a diode laser technique (1470 nm wavelength through a radial fiber) for treating primary and recurrent sinuses. Results: All 5 patients were treated successfully on an outpatient basis under local anaesthesia, receiving no antibiotics or painkillers after discharge. At 6 months complete follow-up, no recurrence was documented. Conclusions: Pilonidal cyst obliteration with laser application seems to be a simple, safe and successful treatment option for primary or recurrent pilonidal sinus disease. It should be considered as an alternative method against more extensive surgical procedures.
Highlights
Pilonodal disease is a common problem in young people, affecting most commonly men between the 2nd and 4th decade of life [1]
In the context of less invasive surgical procedures being more broadly used in everyday clinical practice, several non-surgical or less aggressive surgical techniques have been tested in the treatment of pilonidal cyst
The present study aims at presenting our initial experience in the outpatient treatment of pilonidal disease using a 1470 nm diode laser
Summary
Pilonodal disease is a common problem in young people, affecting most commonly men between the 2nd and 4th decade of life [1]. A number of less invasive or non-surgical methods for pilonidal sinus treatment that were first described half a century ago have regained popularity, whilst new techniques have evolved with promising results. Methods: This small case series study including 5 patients suffering from both primary and recurrent pilonidal disease was undertaken in order to present the initial experience with the use of a diode laser technique (1470 nm wavelength through a radial fiber) for treating primary and recurrent sinuses. Conclusions: Pilonidal cyst obliteration with laser application seems to be a simple, safe and successful treatment option for primary or recurrent pilonidal sinus disease. It should be considered as an alternative method against more extensive surgical procedures
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