The SiLaC procedure for pilonidal sinus disease: long-term outcomes of a single institution prospective study

Dessily, Michaël; Dziubeck, M; Chahidi, Esfandiar; Simonelli, Vincenzo

doi:10.1007/s10151-019-02119-2

Cited by 49 publications

(58 citation statements)

References 26 publications

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“…However, Sievert et al (19) in their retrospective study among members of the German military undergoing excision of pilonidal disease with open-wound or primary closure found neither smoking nor obesity to be risk factors. Previous laser probe studies failed to report on smoking or obesity (13)(14)(15)(16). In our study, with a majority of the patients being non-smokers, no difference in wound healing emerged between smokers and non-smokers.…”

Section: Discussioncontrasting

confidence: 62%

“…In 2016, Dessily et al (13) reported on a promising radial laser probe treatment (FiLac™; Biolitec, Germany) for pilonidal disease with a success rate of 87.5% and recurrence rate of only 2.9%. Since then, a few other studies have reported similar results (14)(15)(16).…”

mentioning

confidence: 54%

“…In earlier radial laser probe studies (13)(14)(15)(16), the healing rate has been around 90%. In our study, a similar 86% healed during follow-up.…”

Section: Discussionmentioning

confidence: 98%

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Pilonidal disease treatment by radial laser surgery (FiLaC™): The first Finnish experience

et al. 2020

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Background and Aims: Pilonidal disease is common, and it afflicts especially young adults, causing disability. Several types of treatment methods are applicable, but no consensus exists regarding the best method. The aim of our study was to assess the novel radial laser probe treatment in pilonidal disease and report the success rate and recurrence rate. Methods: We studied retrospectively 86 patients who, according to our hospital patient records, underwent radial laser probe surgery between January 2017 and September 2019. Results: In a mean follow-up time of 14 months, the success rate at 2 months was 86%. Most operations were done under local anesthesia on a day-surgery basis. The recovery time was rapid, and median sick leave was 12 days. Of those initially successfully treated, 3% developed a recurrence. Altogether 17% of the patients underwent a re-operation. Spillage of pus during surgery, however, reduced the success rate to 53%. Conclusion: Radial laser probe treatment is a quick, safe, and minimally invasive treatment choice for pilonidal disease, especially when no active infection is present.

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Section: Discussioncontrasting

confidence: 62%

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confidence: 54%

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Pilonidal disease treatment by radial laser surgery (FiLaC™): The first Finnish experience

et al. 2020

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“…2. Minimally invasive procedures that include pit picking, which removes midline pores and cleans out the cyst [ 7 ], Gips procedure which is similar to pit picking but uses a skin trephine to remove the midline pores and sinus tract openings [ 8 ], SiLaC, which ablates the sinus with laser-generated heat [ 9 ], EPSiT, which cleans out the sinus tract under direct endoscopic vision [ 10 ], kshar sutra, which ablates the sinus with chemical impregnated thread [ 11 ], phenol injection, which chemically cauterizes the sinus tract [ 12 ], and fibrin glue, which obliterates the sinus tract [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Bascom Cleft Lift as a Solution for All Presentations of Pilonidal Disease

Immerman¹

2021

Cureus

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Objective This study is a report on 700 consecutive patients treated with the Bascom cleft lift as treatment for both simple and complex pilonidal diseases between 1993 and 2020. Patients and methods The Bascom cleft lift was used in patients with primary disease, recurrent disease, perianal disease, and failed flap procedures. Some technical modifications had to be made to accommodate patients with perianal disease, and they are described. All patients were treated by the author in private practice clinics and hospitals between 1993 and 2020 and were entered into a database concomitantly with their treatment. Patients were subsequently surveyed in preparation for this study, by phone, email, or email survey to determine the current status. The procedure consisted of excision of the sinus tracts, cysts, and open wounds; raising a skin and subcutaneous tissue flap; and flattening the gluteal cleft. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. Complications were recorded and are described. Results We found that of the 700 patients, 3.4% required revision of the cleft lift (confidence interval for proportion based on binomial distribution: 2.1%-4.8%). The median follow-up time for patients without recurrence was six months (IQR: 2-19.5). Once primary healing was obtained, there were no late recurrences in the 156 patients followed beyond 24 months. Factors that negatively impacted the success rate were having had previous failed pilonidal surgery (5.3% required revision) and open wounds on the edge of the anus (15.5% required revision). Conclusions The Bascom cleft lift had an overall success rate of 96.6%. There was no category of patients for which this was not a good option, but analysis of this data reveals that patients who have had previous failed surgery, and patients with wounds on the edge of the anus had a higher failure rate than the group as a whole.

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“…Dessily et al adopted this technique for pilonidal disease and in 2017 introduced sinus laser-assisted closure (SiLaC)-a new treatment option for pilonidal sinus disease by using a radial laser probe [2]. The technique is safe, simple, short and well tolerated by patients as it is almost painless, requires little postoperative care and has good cosmetic results [3]. The primary healing rate is high-more than 90% [3,4].…”

Section: O R R E S P O N D E N C E Smile Technique For Pilonidal Simentioning

confidence: 99%

SMILE technique for pilonidal sinus destruction with a radial laser probe—a video vignette

et al. 2021

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The SiLaC procedure for pilonidal sinus disease: long-term outcomes of a single institution prospective study

Cited by 49 publications

References 26 publications

Pilonidal disease treatment by radial laser surgery (FiLaC™): The first Finnish experience

Pilonidal disease treatment by radial laser surgery (FiLaC™): The first Finnish experience

The Bascom Cleft Lift as a Solution for All Presentations of Pilonidal Disease

SMILE technique for pilonidal sinus destruction with a radial laser probe—a video vignette

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