Successful Treatment of Recurrent Pilonidal Sinus with Laser Epilation

Abstract

Laser epilation of the natal cleft should be considered a first choice treatment for recurrent pilonidal disease. Preventive laser epilation of the natal cleft in patients with recurrent folliculitis could avoid future surgery.

A modified surgical approach to sacrococcygeal pilonidal disease: our experience

“…Long-lasting or permanent hair removal in the gluteal area in pilonidal sinus disease would eliminate the hairs and decrease the risk of recurrent disease. 11,13 The recent literature consists of reports on the benefits of laser epilation in pilonidal sinus disease. Benedetto et al reported two patients with recalcitrant pilonidal sinus disease treated with an 800 nm diode laser, resulting in long term relief.…”

“…6 In recent years, reports of laser epilation in the pilonidal sinus disease have shown beneficial effect by decreasing the risk of recurrent Pilonidal sinus disease. [7][8][9][10][11][12][13] Excessive hair growth in the natal cleft is thought to be a key factor in initiating these abscess and their recurrence. Hair are often found trapped in the base of pilonidal wounds.…”

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

“…conclude that LHR of the natal cleft should be considered a first‐choice treatment for recurrent PNS. Preventive LHR of the natal cleft in patients with recurrent folliculitis could avoid future surgery 28 . Benedetto and Lewis have treated two patients with recalcitrant PNS by LHR using diode laser 29 …”

Laser hair removal as adjunct to surgery for pilonidal sinus: Our initial experience

“…[10–1416–18] In our study, the overall recurrence rate was very low compared to the literature, this is mostly attributed to the long-term laser hair removal in more than half of the cases with no recurrence in such group.…”