Laser may reduce recurrence rate in pilonidal sinus disease by reducing captured occipital hair

Doll, Dietrich; Luedi, Markus M.

doi:10.1007/s10103-016-2053-1

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…First, an increased level of health awareness in both sexes might have led to a higher number of women reportedly seeking surgical therapy for PSD 26 . While women's and men's lifestyles might become more similar, no lifestyle related factors have indicated an increase in PSD prevalence over the short or long term 27,33,34 . Yet, data from early studies might be biased by the fact that the incidence of the disease is not growing over time but rather women are able to access care and be diagnosed/ treated with greater frequency in the modern era 26 .…”

Section: Discussionmentioning

confidence: 99%

Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis

Luedi

Schober

Stauffer

et al. 2021

ANZ Journal of Surgery

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Background Gender‐specific risk factors have been suggested to promote a fourfold higher incidence of pilonidal sinus disease (PSD) in male as compared to female patients. However, in recent decades there has been an apparent shift towards an increasing prevalence of PSD in women, as body weight and other risk factors influence the disease. We aimed at determining whether PSD prevalence actually changed in men and women over time. Methods Following PRISMA guidelines (PROSPERO ID: 42016051588), databases were systematically searched. Papers reporting on PSD published between 1833 and 2018 in English, French, German, Italian and Spanish containing precise numbers of male and female participants were selected for analysis. Gender‐specific prevalence of PSD over several decades was the main outcome measure. Results We screened 679 studies reporting on 104 055 patients and found that the male/female ratio in patients with PSD has remained constant over time, with women being affected in about 20% of all PSD cases (I2 = 96.18%; meta‐regression p < 0.001). Conclusion While the prevalence of PSD has risen over the past decades, the ratio between affected males and affected females has remained constant, with women invariably representing about 20% of patients despite wide ranging socioeconomic and behavioural changes.

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Section: Discussionmentioning

confidence: 99%

Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis

Luedi

Schober

Stauffer

et al. 2021

ANZ Journal of Surgery

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“…The use of a laser in the treatment of PD started in the early 1990s, and different types and applications of laser were reported as follows: CO 2 laser to cut tissue or perform elliptical excision [10][11][12]; laser epilation for the decrease of PD recurrence rates [13]; and Nd:YAG laser treatment of primary and recurrent PD [14,15].…”

Section: Introductionmentioning

confidence: 99%

Laser treatment of pilonidal disease: a systematic review

et al. 2021

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Pilonidal disease (PD) is a common condition, and there is still an ongoing debate on ideal management that should be minimally invasive, safe, and efficient. The use of radially emitting laser in the treatment of chronic PD is a novel minimally invasive technique, and initial studies with a small number of patients showed promising results. This study aimed to assess the efficacy and safety of chronic PD treatment with a laser using a systematic review of the published literature. A systematic review was conducted after PubMed, Scopus, Embase, Web of Science, and the Cochrane database search for studies reporting laser treatment of chronic PD. Also, our unpublished prospective single-center study was included in this review. Ten of 87 studies were eligible for the review, including 971 patients. The median age of the patients was 26 (range 13-68), and the median operative time was 26 (range 6-65) min. With a median follow-up of 12 (range 7-25) months, 917 (94.4%) patients achieved primary healing with a weighted mean recurrence rate of 3.8%. The weighted mean complication rate was 10% (95% CI 5.7-14.3%, I2 = 82.28, p < 0.001), and all were minor. The published literature demonstrates that laser treatment is a promising procedure in the management of chronic PD. Furthermore, the review showed that standardized operative techniques and perioperative steps were used. The results were limited to the mild chronic PD. Classification of PD severity and standardized outcome reporting is required to define indications and contraindications for laser PD treatment. Randomized controlled trials are needed to determine the long-term effectiveness and superiority of laser treatment over other methods.

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“…Romic et al revealed that the use of a radially emitting laser to treat chronic pilonidal sinus disease is a novel and minimally invasive technique. Some studies, but with a small number of patients, showed promising results [ 22 ], but laser ablation for the area is one of the methods to prevent recurrence [ 23 ]. Phenol, as a minimally invasive procedure, has a limited role in the treatment of pilonidal sinus disease, as most of our surgeons do not believe in it due to its toxicity.…”

Section: Discussionmentioning

confidence: 99%

Surgeons’ Experience and Practices in Managing the Pilonidal Sinus in the Kurdistan Region of Iraq

Haweizy

2024

Cureus

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Background Despite pilonidal sinus disease being a prevalent issue, there are still many challenges and controversies regarding its management. This study aimed to evaluate the experiences and practices of surgeons in the Kurdistan region of Iraq in the management of the pilonidal sinus and determine the most preferred treatment method, recurrence rates, and other complications related to different treatment methods. Methods This cross-sectional study was conducted on a convenience sample of 104 surgeons in the Kurdistan region of Iraq from January to February 2024 using an online survey based on Google Forms. A questionnaire was developed for data collection that included data on the experience and practice of pilonidal sinus treatment. Results The most common procedure followed by the study participants to manage the pilonidal sinus included primary open (n = 61/104, 58.7%), followed by primary closure (n = 20/104, 19.2%). The most common reasons or advantages for performing specific procedures to manage the pilonidal sinus were a lower recurrence rate (n = 73/104, 70.2%), safer procedures (n = 60/104, 57.7%), shorter operation times (n = 57/104, 54.8%), and shorter hospital stays (n = 53/104, 51.0%). The primary open method was the most commonly used method (n = 46/104, 44.3%), followed by simple incision and drainage (n = 25/104, 24.0%), primary closure (n = 23/104, 22.1%), and off-midline closure (n = 10/104, 9.6%). Most of the participants agreed that the primary open had the lowest recurrence rate (n = 68/104, 65.4%), while simple incision and drainage (n = 50/104, 48.1%) and primary closure (n = 29/104, 27.9%) were associated with frequent recurrence. Conclusions Standard treatment of pilonidal sinus disease is still not available. Most surgeons in the Kurdistan region of Iraq prefer the open method, which is the easiest, safest, and least recurrent yield method. However, it is the most painful and has the longest recovery time.

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Laser may reduce recurrence rate in pilonidal sinus disease by reducing captured occipital hair

Cited by 7 publications

References 16 publications

Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis

Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis

Laser treatment of pilonidal disease: a systematic review

Surgeons’ Experience and Practices in Managing the Pilonidal Sinus in the Kurdistan Region of Iraq

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