Effective management of multiple pilonidal sinuses using the sinus laser closure technique: a case report

Abstract

Pilonidal sinus disease (PSD) is a prevalent condition that significantly affects young adults, particularly males. Despite the variety of treatment options proposed for managing this condition, a definitive gold standard has yet to be established. This case report details the management of multiple pilonidal sinuses in a 22-year-old male using the sinus laser closure (SiLaC) technique, a minimally invasive surgical approach. The patient presented with pain, discharge, and multiple sinus openings in the natal cleft, which had persisted for six months. Imaging studies confirmed the presence of multiple fluid-filled sinus tracts without abscess formation. The SiLaC procedure successfully obliterated the sinus tracts, resulting in rapid recovery and minimal postoperative complications. his case highlights the effectiveness of SiLaC in treating complex pilonidal disease and underscores its potential as a preferred treatment modality in similar cases. Future recommendations include larger studies to further validate these findings and explore long-term outcomes.