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Updated: Jun 23, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Pilonidal sinus. Outpatient treatment with local anesthesia]
M Biffoni1, P Scipioni, N Macrina
1Sapienza Università di Roma, Azienda Policlinico Umberto I, Dipartimento di Scienze Chirurgiche.
Outpatient pilonidal sinus excision using local anesthesia offers good outcomes with fewer recurrences and complications compared to general anesthesia. Maintaining hygiene and body weight is crucial for reducing recurrence rates.
Area of Science:
- Surgical Procedures
- Anesthesiology
- Proctology
Background:
- Pilonidal sinus disease is a common condition requiring surgical intervention.
- Traditional treatments often involve general anesthesia, potentially leading to longer recovery times and higher complication rates.
Purpose of the Study:
- To describe a surgical technique for pilonidal sinus outpatient total excision under local anesthesia.
- To evaluate the efficacy and safety of this outpatient approach.
Main Methods:
- Surgical technique involves total excision of the pilonidal sinus.
- Primary repair of the surgical wound.
- Procedure performed under local anesthesia in an outpatient setting.
Main Results:
- Good outcomes reported regarding recurrence rates and time off work.
- Fewer complications and recurrences observed compared to general anesthesia.
- Local anesthesia demonstrated safety and cost-effectiveness.
Conclusions:
- Outpatient total excision with local anesthesia is a safe and effective treatment for pilonidal sinus.
- Importance of body weight control and local hygiene for decreasing recurrence.
- This method offers advantages over general anesthesia in terms of complications and recurrences.
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