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Laser Ablation of Pilonidal Sinus Disease: A Pilot Study
Michael D Williams1, Gwyneth A Sullivan, Neha Nimmagadda
1Department of Surgery, Rush University Medical Center, Chicago, Illinois.
Diseases of the Colon and Rectum
|March 6, 2023
Summary
Laser ablation offers a safe and feasible minimally invasive treatment for pilonidal sinus disease. This innovative approach results in rapid recovery, minimal pain, and high patient satisfaction.
Area of Science:
- Minimally Invasive Surgery
- Laser Therapeutics
- Proctology
Background:
- Pilonidal disease traditionally treated with wide local excision.
- Minimally invasive techniques for pilonidal sinus disease are under investigation.
- Laser ablation is explored as a novel treatment option.
Purpose of the Study:
- To evaluate the safety and feasibility of laser ablation for pilonidal sinus disease.
- To assess patient outcomes and recovery following laser ablation.
- To determine the efficacy of laser ablation in treating pilonidal sinus disease.
Main Methods:
- Utilized the NeoV V1470 Diode Laser with a 2-mm probe.
- Performed laser ablation in both adult and pediatric patients.
- Conducted 27 procedures across 25 patients.
Main Results:
- Median operative time was 30 minutes.
- 80% of patients reported minimal to no pain at 2 weeks post-procedure.
- Median return to work/school was 3 days.
- 88% patient satisfaction reported at 6-month follow-up.
- 82% healing rate at 6 months.
Conclusions:
- Laser ablation is a safe and feasible treatment for pilonidal disease.
- The procedure offers a short recovery period and high patient satisfaction.
- Further investigation into laser ablation for pilonidal sinus disease is warranted.
