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Pilonidal sinus destruction with a radial laser probe: technique and first Belgian experience
Michael Dessily1, Fadi Charara1, Sebastian Ralea1
1a Department of Digestive Surgery and Proctology , Centre Hospitalier Universitaire de Tivoli , La Louvière , Belgium.
Acta Chirurgica Belgica
|January 7, 2017
Summary
A new laser technique effectively treats pilonidal sinus disease with an 87.5% success rate. This minimally invasive approach offers a short hospital stay and rapid recovery, making it a promising first-line treatment option.
Area of Science:
- Minimally Invasive Surgery
- Laser Therapeutics
- Proctology
Background:
- Pilonidal sinus disease treatment remains challenging with no established consensus.
- Existing surgical and non-surgical methods have limitations.
- A novel technique using a radial laser probe (FILAC) for pilonidal cyst destruction is introduced.
Purpose of the Study:
- To evaluate the efficacy and safety of the FILAC laser technique for pilonidal sinus disease.
- To assess outcomes including success rate, recurrence, hospital stay, and complications.
Main Methods:
- Retrospective study of 40 patients treated with the FILAC laser technique between September 2014 and September 2015.
- Mean follow-up period of 234 days.
- Data collected on patient demographics, treatment outcomes, and complications.
Main Results:
- An 87.5% success rate was observed in 35 out of 40 patients.
- The recurrence rate was 2.9% (1 patient).
- Patients experienced a 1-day hospital stay, with minimal pain and complications (2 hematomas, 2 abscesses).
Conclusions:
- Laser-assisted pilonidal sinus treatment is safe, simple, and minimally invasive.
- The technique demonstrates a good success rate with short recovery times.
- This method is a viable first-line treatment option for most pilonidal sinus disease patients.
