Radio surgery in pilonidal sinus: a new approach for the old problem

Area of Science:

• Surgical Innovation
• Minimally Invasive Procedures
• Proctology

Background:

• Pilonidal sinus disease management involves diverse treatments, from conservative care to surgical excision.
• The open sinus technique remains prevalent globally due to its simplicity and effectiveness.

Purpose of the Study:

• To evaluate a modified open sinus technique using radio surgery for chronic pilonidal sinus.
• To assess the efficacy and patient outcomes of radio surgery in treating pilonidal sinus disease.

Main Methods:

• A modified radio surgery technique was applied to treat 21 patients (11 males, 10 females) with chronic pilonidal sinus.
• The radio surgical device facilitated the complete execution of the open sinus procedure.

Main Results:

• Mean hospital stay was 8 hours; mean return to work was 7 days.
• Mean healing time was 71 days, with one case of delayed healing requiring wound revision.
• No recurrence was observed during a 2-year follow-up period.

Conclusions:

• Radio surgery for pilonidal sinus offers reduced tissue trauma, pain, and inflammation.
• This technique promotes faster recovery and return to routine activities compared to traditional methods.
• The radio surgery approach demonstrates comparable results to extensive surgical procedures for pilonidal sinus.