Long-term follow-up of pilonidal sinus disease treated by radial laser surgery.

IF 2.1 3区医学 Q2 SURGERY

Langenbeck's Archives of Surgery Pub Date : 2024-08-23 DOI:10.1007/s00423-024-03455-0

Koskinen Karita, Lindström Adalia, Poussa Tuija, Harju Jukka, Hermunen Kethe

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引用次数: 0

Abstract

Purpose: Laser ablation is one of the newest and most advanced minimally invasive techniques in treating pilonidal sinus disease (PSD). Most studies on the subject have small sample sizes and relatively short follow-up times, making evaluation of long-term healing rates and recurrences difficult. Furthermore, long-term results for laser surgery of PSD are still lacking. The aim of this study was to retrospectively report long-term follow-up results for PSD treatment by radial laser surgery.

Methods: We retrospectively studied the medical records of 83 patients who underwent the radial laser procedure for PSD between January 2017 and September 2019. Our follow-up time was a median of 5.2 years, range 1.5 to 7.4 years.

Results: Twelve patients had a PSD recurrence after their laser procedure, which gives a recurrence rate of 14.5% (95% CI 8.2%-23.2%). These recurrences appeared at a median 12.2 months after the laser procedure, range 4.2 to 51 months. A total of 23 patients (27.7%; 95% CI 19.0-38.0) underwent a reoperation, 11 patients due to postoperative infection or prolonged recovery and 12 patients due to PSD recurrence. Recurrent PSD and spillage of pus during operation were statistically significantly associated with the need for a second operation.

Conclusion: Radial laser surgery provides a minimally invasive treatment option with an acceptable recurrence rate in long-term follow-up.

Abstract Image

查看原文本刊更多论文

通过放射激光手术治疗朝天鼻窦疾病的长期随访。

目的：激光消融术是治疗朝天鼻窦疾病（PSD）的最新、最先进的微创技术之一。大多数相关研究的样本量较小，随访时间相对较短，因此很难评估长期治愈率和复发率。此外，激光手术治疗PSD的长期结果仍然缺乏。本研究旨在回顾性报告放射激光手术治疗 PSD 的长期随访结果：我们回顾性研究了 2017 年 1 月至 2019 年 9 月间接受放射激光手术治疗 PSD 的 83 例患者的病历。我们的随访时间中位数为 5.2 年，范围为 1.5 年至 7.4 年：12名患者在激光术后复发了PSD，复发率为14.5%（95% CI为8.2%-23.2%）。这些复发出现在激光术后中位 12.2 个月，范围为 4.2 至 51 个月。共有 23 名患者（27.7%；95% CI 19.0-38.0）接受了再次手术，其中 11 名患者是因为术后感染或恢复时间过长，12 名患者是因为 PSD 复发。从统计学角度看，PSD复发和手术中脓液溢出与是否需要进行第二次手术密切相关：结论：桡骨激光手术是一种微创治疗方法，长期随访的复发率可以接受。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.