Effect of hair removal by Nd:YAG laser on the recurrence of pilonidal sinus

Abstract

LHR can prevent the recurrence of PNS. LHR should be advised as an essential adjuvant treatment after surgical excision of PNS. In non-complicated recurrent PNS, LHR is strongly advocated to be started before and continued after doing surgical treatment.

Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

“…None of the patients who performed LHR by Nd:YAG laser had shown recurrence of PNS during the study and follow-up period. Recurrence of PNS was seen in seven of those who had no LHR (62). Pain was the most prominent side effect seen in our study as it was a complaint of six patients out of fifteen.…”

“…In both studies, no risk of serious adverse side effects has been noted with the Nd:YAG laser (75,76). However, pain is the most prominent side effect of Nd:YAG laser (62,75,76). Good cooling during treatment and proper choice of laser parameters can reduce the perception of pain.…”

Unconventional Use of Intense Pulsed Light

“…Pilonidal cyst , also known as pilonidal sinus or sacrococcygeal cyst (due to its frequent onset in this area), is a cyst containing hair and skin debris [15–19]. …”

Nd:YAG‐Laserepilation zur Rezidivprophylaxe nach Sinus‐pilonidalis‐Operation

“…Offene sekundäre Wundheilung, primärer Wundverschluss in der Mittellinie oder plastisch-rekonstruktive Lappenplastiken werden durchgeführt. Trotzdem ist die Rezidivrate hoch und wird mit 5 % bis 20 % angegeben [1,3]. Einige Autoren berichten die wenigsten Rezidive nach primär offener Wundbehandlung [2, 4], andere nach Verschluss mittels Lappenplastik [5].…”

“…Haare können nicht nur ein Rezidiv begünstigen, sondern auch die Abheilung nach Sinus-pilonidalis-Operation mit nachfolgender sekundärer Wundheilung behindern (Abbildung 1). In den letzten Jahren konnte durch Haarentfernung mittels verschiedener Lasersysteme die Rezidivwahrscheinlichkeit nach Sinus-pilonidalis-Operation gesenkt werden [3,[5][6][7][8]. …”