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This study aims to investigate the effect of laser ablation (LA) in minimally invasive management of pilonidal disease (PD).
Data of the patients with PD who were eligible for simple debridement have been prospectively collected since March 2018, when laser ablation treatment came into use in our institution. Laser ablation treatment was offered to all eligible patients. All the patients underwent debridement (removal of hair and/or necrotic tissues through pits using a clamp/curette/brush) of PD; LA was added to the procedure in patients who were willing to have LA. The surgical outcome of two procedures was compared. The primary outcome measure was recurrence at 36 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Debridement only | Debridement of the pilonidal cyst through pits was performed in this group. After the removal of hair and necrotic tissues through pits, the surgical site was covered with a simple gauze dressing for 1 day. Patients were allowed to return to work and sit freely on the day of surgery. | ||
| Debridiment with laser ablation | This group underwent the same procedure as the debridement group. After the removal of hair and necrotic tissues through pits, a diode laser at 1470 wavelength was inserted and the pilonidal cavity was ablated in a continuous fashion. The surgical site was covered with a simple gauze dressing for 1 day. Patients were allowed to return to work and sit freely on the day of surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laser ablation | Device | A diode-laser that has been reported to be safe and effective in several treatments including pilonidal disease, anal fistula, hemorrhoids, and vascular ablation was used to obtain shrinkage of pilonidal cyst |
| Measure | Description | Time Frame |
|---|---|---|
| disease recurrence at 36 months | Any ongoing or recurrent sypmtoms were recorded | 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Complications after the procedure | Safety of the procedure | 1 month |
| Incidence of adverse events | Safety of the procedure | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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Female and males older than 18 years old
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| Name | Affiliation | Role |
|---|---|---|
| Naciye Cigdem Arslan, MD | Medipol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medipol Bahcelievler Hospital | Istanbul | Other (Non U.s.) | 34196 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17573759 | Background | Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007 Jul;9(6):575-6. doi: 10.1111/j.1463-1318.2007.01236.x. No abstract available. | |
| 42128975 | Derived | Arslan NC, Bilgin IA, Gulcu B, Bayraktar B, Eray IC, Bisgin T, Yildirim Y, Aghayeva A, Aydin I, Bilgic C, Boluk S, Kurtul CI, Ramoglu N, Yildirim A, Bayraktar IE, Bayraktar O. Does laser treatment affect outcome in pilonidal sinus disease? Long-term multicenter retrospective analysis of pit-picking alone vs. pit-picking with laser. Tech Coloproctol. 2026 May 13. doi: 10.1007/s10151-026-03314-8. Online ahead of print. |
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| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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