Evirgen Suat, Cetin Sirin
Department of General Surgery, Medical Faculty, Amasya University, Amasya 05100, Turkey.
Department of Bioistatistical, Medical Faculty, Amasya University, Amasya 05100, Turkey.
J Clin Med. 2025 Apr 28;14(9):3052. doi: 10.3390/jcm14093052.
This study aims to evaluate the efficacy and safety of a minimally invasive technique (pit excision with a punch biopsy needle) using a 1470 nm diode laser in the treatment of pilonidal sinus disease. A prospective study conducted included 187 patients who underwent laser treatment for pilonidal sinus. Patients were divided into two groups based on the severity of the disease: Group 1 (simple group) included patients who had no prior abscess formation and had one or two sinus openings, while Group 2 (complicated group) comprised patients with a history of abscess drainage and more two extensive sinus openings. The surgical procedure was performed under local anesthesia. The sinus openings were excised using a punch biopsy needle and subsequently closed with a diode laser probe. Patients were followed up at regular intervals during the postoperative period. The findings revealed that the operative time (12.22 ± 1.72 min), postoperative pain scores and wound-healing duration were significantly lower in the simple group compared to the complicated group ( < 0.001). The recurrence rates were 3.7% in the simple group and 14.1% in the complicated group. The return-to-work time was 1.06 ± 0.32 days in the simple group and 1.32 ± 0.90 days in the complicated group. In conclusion, the combination of punch biopsy and diode laser is considered a safe and effective method, particularly for simple pilonidal sinus cases, due to its low complication rates, short recovery time, and early return-to-work advantages. However, more advanced treatment approaches are required for complicated cases.
本研究旨在评估使用1470纳米二极管激光的一种微创技术（用打孔活检针切除窦道）治疗藏毛窦疾病的疗效和安全性。一项前瞻性研究纳入了187例行藏毛窦激光治疗的患者。根据疾病严重程度将患者分为两组：第1组（简单组）包括既往无脓肿形成且有一或两个窦口的患者，而第2组（复杂组）包括有脓肿引流史且有两个以上广泛窦口的患者。手术在局部麻醉下进行。使用打孔活检针切除窦口，随后用二极管激光探头封闭。术后定期对患者进行随访。结果显示，与复杂组相比，简单组的手术时间（12.22±1.72分钟）、术后疼痛评分和伤口愈合时间显著更低（<0.001）。简单组的复发率为3.7%，复杂组为14.1%。简单组的恢复工作时间为1.06±0.32天，复杂组为1.32±0.90天。总之，打孔活检与二极管激光相结合被认为是一种安全有效的方法，特别是对于简单的藏毛窦病例，因其并发症发生率低、恢复时间短和恢复工作早的优点。然而，复杂病例需要更先进的治疗方法。
