A Comparitive Study Between Early Outcomes of Laser and Lay-Open Technique in Management of Simple Pilonidal Sinus

IF 2.2 3区医学 Q2 DERMATOLOGY

Lasers in Surgery and Medicine Pub Date : 2025-03-19 DOI:10.1002/lsm.70008

Mostafa Seif El Deen, Youssef Mohamed Hassan, Magdy Akel Sorour, Hany El Hadad, Mohamed Wael

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引用次数: 0

Abstract

Background

Pilonidal sinus (PS) predominantly impacts adolescent and young adult males. This condition may be asymptomatically or escalate to painful acute abscesses and recurrent discharge.

Objective

To evaluate the early postoperative outcomes of laser therapy compared to the lay-open technique in the treatment of chronic pilonidal sinus disease.

Methods

Prospective randomized comparative study including 40 patients, divided into two equal groups: (a) The SiLaT group: PS treated with diode laser therapy (SiLaT) and (b) the lay-open group: PS treated with lay-open (sinotomy). Postoperative outcomes such as operative time, hospital stay, pain scores, healing time, complications, and recurrence rates were analyzed.

Results

Operative time was significantly shorter in the SiLaT group (18.4 ± 2.1 min vs. 26.2 ± 3.7 min, p = 0.022). Hospital stay was shorter in the SiLaT group (6.60 ± 1.47 h vs. 15.10 ± 5.52 h, p < 0.001). Pain scores were lower in the SiLaT group (2.30 ± 0.92 vs. 4.80 ± 1.01, p < 0.001). Wound healing was significantly faster in the SiLaT group (10.1 ± 2.7 days vs. 34.1 ± 15.1 days, p < 0.0001). Recurrence rates (p = 0.998) and surgical site infection (p = 1.00) were comparable among both groups.

Conclusion

Sinus laser therapy (SiLaT) demonstrated superior early outcomes, including faster recovery, reduced pain, and fewer complications with earlier resumption of daily activities compared to the lay-open technique. However, recurrence rates remain similar, necessitating long-term studies to evaluate its effectiveness as a first-line treatment. These findings support the use of SiLaT as a day-case surgical procedure, for treating simple PS disease, particularly in young active patients seeking rapid recovery with minimal morbidity.

查看原文本刊更多论文

激光与开放技术治疗单纯性毛窦早期疗效的比较研究。

背景：毛突窦（PS）主要影响青少年和年轻成年男性。这种情况可能无症状或升级为疼痛的急性脓肿和反复放电。目的：比较激光治疗与切开技术治疗慢性毛窦疾病的术后早期疗效。方法：前瞻性随机对照研究40例患者，分为两组：(a) SiLaT组：PS采用二极管激光治疗（SiLaT）， (b)切开组：PS采用切开（窦道切开术）。分析手术时间、住院时间、疼痛评分、愈合时间、并发症和复发率等术后结果。结果：SiLaT组手术时间明显缩短（18.4±2.1 min vs. 26.2±3.7 min, p = 0.022）。结论：鼻窦激光治疗（SiLaT）具有较好的早期疗效，包括恢复更快、疼痛减轻、并发症更少、更早恢复日常活动。然而，复发率仍然相似，需要长期研究来评估其作为一线治疗的有效性。这些发现支持将SiLaT作为一种日间外科手术，用于治疗单纯性PS疾病，特别是在寻求快速恢复且发病率最低的年轻活跃患者中。

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

Lasers in Surgery and Medicine 医学-外科

CiteScore

5.40

自引率

12.50%

发文量

119

审稿时长

1 months

期刊介绍： Lasers in Surgery and Medicine publishes the highest quality research and clinical manuscripts in areas relating to the use of lasers in medicine and biology. The journal publishes basic and clinical studies on the therapeutic and diagnostic use of lasers in all the surgical and medical specialties. Contributions regarding clinical trials, new therapeutic techniques or instrumentation, laser biophysics and bioengineering, photobiology and photochemistry, outcomes research, cost-effectiveness, and other aspects of biomedicine are welcome. Using a process of rigorous yet rapid review of submitted manuscripts, findings of high scientific and medical interest are published with a minimum delay.