Department of Surgery, Zagazig University Faculty of Medicine, Egypt.
Asian J Surg. 2022 Jan;45(1):179-183. doi: 10.1016/j.asjsur.2021.04.026. Epub 2021 May 6.
Fistula Laser Closure (FiLAC) is a method that was originally applied in the treatment of perianal fistulas. Because of promising results, diode lasers were later on used to treat pilonidal sinus disease in a method called sinus Laser Closure (SiLaC). The aim of this study is to compare between SiLaC and Limberg flap in management of pilonidal disease.
A prospective, nonrandomized comparative study. A short-term follow-up of 71 patients with pilonidal disease was analyzed (24 operated on using the SiLaC technique and 47 using the Limberg technique). With a primary outcome is healing rate and recurrence and a secondary outcome is other measures i.e. complications, hospital stay and postoperative pain.
The median operative time in the SiLaC group was 26.45 ± 5.41 min (20-35 min) and in the Limberg group 58.63 ± 7.42 min (50-75 min). In the SiLaC group, the primary healing was achieved in 23 out of 24 patients (95.8%) with a total complication rate of 20.83%. There were two cases of recurrence after initial healing in each group.
Sinus laser Closure (SiLaC) is comparable to Limberg flap technique in the terms of healing rate and recurrence with better outcome regarding operative time, hospital stay and post-operative pain.
瘘管激光闭合术（FiLAC）最初应用于治疗肛周瘘管。由于结果令人满意，后来二极管激光被用于治疗藏毛窦疾病，这种方法被称为窦激光闭合术（SiLaC）。本研究旨在比较 SiLaC 与 Limberg 皮瓣在藏毛窦疾病治疗中的疗效。
这是一项前瞻性、非随机的对照研究。对 71 例藏毛窦疾病患者进行了短期随访（24 例采用 SiLaC 技术，47 例采用 Limberg 技术）。主要结局是愈合率和复发率，次要结局是其他指标，如并发症、住院时间和术后疼痛。
SiLaC 组的中位手术时间为 26.45 ± 5.41 分钟（20-35 分钟），Limberg 组为 58.63 ± 7.42 分钟（50-75 分钟）。在 SiLaC 组，24 例患者中有 23 例（95.8%）达到了原发性愈合，总并发症发生率为 20.83%。两组中各有 2 例在初始愈合后复发。
在愈合率和复发率方面，窦激光闭合术（SiLaC）与 Limberg 皮瓣技术相当，但在手术时间、住院时间和术后疼痛方面的结果更好。
