Use of the laser in the pilonidal sinus alone or in combination with phenol

Abstract

OBJECTIVE:We investigated the effectiveness of combining laser treatment with phenol in the management of pilonidal sinus. METHODS:We present here a retrospective analysis of patients with pilonidal sinus disease who were treated in the general surgery clinic of the Balikesir University Hospital between October 2019 and February 2022. RESULTS: Recurrence was observed in three patients (13.6%) in the laser treatment group and one patient (4.8%) in the laser-phenol treatment group after the fourth month. Notably, 22 (91.7%) patients in the laser treatment group and 21 (95.5%) patients in the laser-phenol treatment group had complete healing. CONCLUSION: Although not statistically significant, the laser-phenol treatment group exhibited a lower recurrence rate and a higher complete healing rate.

Advancements and Innovations in the Surgical Management of Sacrococcygeal Pilonidal Sinus: A Comprehensive Review

“…This procedure involves creating a small incision and using the laser fiber to seal the sinus tract [27]. Studies have reported impressive complete healing rates of up to 94.4% with laser treatment alone [28]. The exploration of combined laser therapy with phenol application has also shown promise.…”

“…In a retrospective study, the laser-phenol treatment group exhibited a lower recurrence rate (4.8%) than laser treatment alone (13.6%), albeit without statistical significance. Additionally, the laser-phenol group demonstrated a higher complete healing rate (95.5%) in contrast to the laser-only group (91.7%) [28]. Laser therapy presents several advantages, including minor wounds, mild postoperative discomfort, and a short recovery period, enabling patients often to resume work within a week post-surgery [27].…”

“…Laser therapy presents several advantages, including minor wounds, mild postoperative discomfort, and a short recovery period, enabling patients often to resume work within a week post-surgery [27]. Nevertheless, concerns regarding recurrence rates persist, necessitating further investigation to ascertain laser therapy's position as the gold standard for SPS treatment [26,28].…”