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International Journal of Surgery & Surgical Procedures Volume 1 (2016), Article ID 1:IJSSP-103, 3 pages
https://doi.org/10.15344/2456-4443/2016/103
Case Report
Outpatient Treatment of Pilonidal Disease with a 1470nm Diode Laser; Initial Experience

Georgios K. Georgiou

Iasi Private Medical Center, 75 Dodonis avenue, 45221, Ioannina, Greece
Dr Georgios K. Georgiou, Iasi Private Medical Center 75 Dodonis avenue, 45221, Ioannina, Greece, Tel: +30 6942964111, Fax: +30 2651074001; E-mail: georgmd7@gmail.com
25 November 2015; 09 February 2016; 11 February 2016
Georgiou GK (2016) Outpatient Treatment of Pilonidal Disease with a 1470nm Diode Laser; Initial Experience. Int J Surg Surgical Proced 1: 103. doi: https://doi.org/10.15344/2456-4443/2016/103

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.