Iasi Private Medical Center, 75 Dodonis avenue, 45221, Ioannina, Greece.
Tech Coloproctol. 2018 Oct;22(10):773-778. doi: 10.1007/s10151-018-1863-5. Epub 2018 Oct 10.
The aim of the present study was to assess the effectiveness of the minimally invasive technique pilonidal disease laser treatment (PiLaT) in treating primary (non-recurrent) pilonidal disease in an outpatient setting under local anaesthesia.
A prospective observational study was conducted on consecutive patients suffering from primary pilonidal disease that were treated at Iasi Private Medical Center, Ioannina, Greece, between April 2015 and December 2016, using a 1.470 nm diode laser (BioLitec, Germany) emitting energy through a radial optic fiber that was inserted in the cyst and accompanying sinus tracts. Patients were discharged half an hour after completion of the procedure. Pain scores [visual analogue scale (VAS)], complications and patient satisfaction were assessed. Follow-up lasted 12 months.
There were 60 patients, 51 males and 9 females, with a mean age of 22.7 years (range 15-58). Successful treatment (complete epithelization of cyst and tracts) was documented in 55 out of the 60 patients (92% success rate). VAS pain scores were low and no major complications were recorded. Healing was achieved in 25.4 days (range 17-40) and 53.3% of patients were able to return to work the same day (the rest within 3 days). Of the failures, four patients did not heal and one patient recurred after 5 months. All failures were treated successfully with a second laser procedure except for one who denied re-intervention. Overall patient satisfaction reached 98%.
PiLaT seems to be very close to the ideal treatment of pilonidal disease, since it is safe, easy to perform, almost painless and highly effective.
本研究旨在评估微创技术皮隆纳尔病激光治疗（PiLaT）在局麻下门诊治疗原发性（非复发性）皮隆纳尔病的疗效。
对 2015 年 4 月至 2016 年 12 月期间在希腊约阿尼纳 Iasi 私立医疗中心接受治疗的原发性皮隆纳尔病患者进行了一项前瞻性观察研究，使用 1.470nm 二极管激光（德国 BioLitec）通过插入囊肿和伴随的窦道的放射状光纤发射能量。患者在手术完成后半小时内出院。评估疼痛评分（视觉模拟评分[VAS]）、并发症和患者满意度。随访时间为 12 个月。
共有 60 例患者，男 51 例，女 9 例，平均年龄 22.7 岁（15-58 岁）。60 例患者中有 55 例（92%的成功率）成功治疗（囊肿和窦道完全上皮化）。VAS 疼痛评分较低，无重大并发症。愈合时间为 25.4 天（17-40 天），53.3%的患者当天（其余 3 天内）即可恢复工作。失败的病例中，有 4 例未愈合，1 例在 5 个月后复发。除 1 例拒绝再次干预外，所有失败病例均通过第二次激光治疗成功治愈。总体患者满意度达到 98%。
PiLaT 似乎非常接近皮隆纳尔病的理想治疗方法，因为它安全、易于操作、几乎无痛且非常有效。
