The laser pilonidoplaty

Bhavin Bhuva; Naresh Chovatiya; Shiva Baladaniya; Rahul Naik

doi:10.18203/2349-2902.isj20242123

Authors

Bhavin Bhuva Star Surat Piles and Colorectal Clinic, Surat, Gujarat, India
Naresh Chovatiya Star Surat Piles and Colorectal Clinic, Surat, Gujarat, India
Shiva Baladaniya Star Surat Piles and Colorectal Clinic, Surat, Gujarat, India
Rahul Naik Belly and Love Hospital, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242123

Keywords:

Pilonidal sinus, Pilonidal cyst, Laser pilonidoplasty

Abstract

Background: The aim of our study was to evaluate the safety, efficacy and clinical outcome of a laser procedure for the treatment of pilonidal sinus. Objectives were to investigate its effectiveness in terms of operation time, healing time, and the duration of hospitalization, resumption of normal activity, the degree of postoperative complications and rate of recurrence patient satisfaction.

Methods: Patients suffering from pilonidal sinus were operated by laser pilonidoplasty at our institute. Laser pilonidoplasty done under spinal anesthesia or local + sedation after a small primary pit excision (0.5-1 cm incision), excision of secondary pits and careful cleaning of the sinus tracts with a curette. After curettage, the laser energy laser set at a wavelength of 1470 nm) was delivered in continuous mode 10 w/sec into the sinus tract f/b saline wash and dressing.

Results: Mean duration of procedure was 35.5 min, mean duration of hospital stay was 1.3 days, mean resumption of normal activity within 8.4 days, mean duration for complete wound healing by secondary intention 29.33 days. Among complications, non-healing ulcer reported in 34% and pain noted in 26%. Recurrence rate was 14%. Success rate was 86% and overall patient’s satisfaction was 94%.

Conclusions: Laser pilonidopasty proved to be a safe and effective procedure for treating patients suffering from pilonidal sinus with average success rate, less morbidity, fewer complications with better patient satisfaction rate.

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