Use of the laser in the pilonidal sinus alone or in combination with phenol

We present here a retrospective analysis of patients with pilonidal sinus disease who were treated in the general surgery clinic of the Balikesir University Hospital between October 2019 and February 2022.

RESULTS:

Recurrence was observed in three patients (13.6%) in the laser treatment group and one patient (4.8%) in the laser-phenol treatment group after the fourth month. Notably, 22 (91.7%) patients in the laser treatment group and 21 (95.5%) patients in the laser-phenol treatment group had complete healing.

CONCLUSION:

Although not statistically significant, the laser-phenol treatment group exhibited a lower recurrence rate and a higher complete healing rate.

KEYWORDS:
Lasers; Phenol; Pilonidal cyst; Pilonidal sinus

		Treatment groups		p-value
		Laser (n=24)	Laser+phenol (n=22)	p-value
Age (years)^† † Mean±standard deviation;		29.0±7.7	27.9±5.5	0.552
Gender^‡ ‡ n (%);
	Male	19 (79.2)	16 (72.7)	0.869
	Female	5 (20.8)	6 (27.3)	0.869
	Pit numbers^§ § Median [min–max].	2.0 [1.0–3.0]	1.5 [1.0–3.0]	0.540
Abscess drainage history^‡ ‡ n (%);
	No	20 (83.3)	18 (81.8)	0.999
	Yes	4 (16.7)	4 (18.2)	0.999
Length of hospital stay (days)^§ § Median [min–max].		0.0 [0.0–0.0]	0.0 [0.0–1.0]	0.296

Follow-up examination time	Complication	Treatment groups		p-value
Follow-up examination time	Complication	Laser	Laser+phenol	p-value
1st day^‡ ‡ n (%).
	No	24 (100)	22 (100)	NA
	Yes	0 (0)	0 (0)	NA
7th day^‡ ‡ n (%).
	No	22 (91.7)	21 (95.5)	0.999
	Yes	2 (8.3)	1 (4.5)	0.999
30th day^‡ ‡ n (%).
	No	22 (100)	21 (100)	NA
	Yes	0 (0)	0 (0)	NA
3rd month^‡ ‡ n (%).
	No	22 (100)	21 (100)	NA
	Yes	0 (0)	0 (0)	NA
6th month^‡ ‡ n (%).
	No	19 (100)	20 (100)	NA
	Yes	0 (0)	0 (0)	NA
12th month^‡ ‡ n (%).
	No	19 (100)	20 (100)	NA
	Yes	0 (0)	0 (0)	NA

		Treatment groups		p-value
		Laser (n=24)	Laser+phenol (n=22)	p-value
Complete healing^‡ ‡ n (%).
	No	2 (8.3)	1 (4.5)	0.999
	Yes	22 (91.7)	21 (95.5)	0.999
Recurrence
	No	19 (86.4)	20 (95.2)	0.607
	Yes	3 (13.6)	1 (4.8)	0.607

Associação Médica Brasileira R. São Carlos do Pinhal, 324, 01333-903 São Paulo SP - Brazil, Tel: +55 11 3178-6800, Fax: +55 11 3178-6816 - São Paulo - SP - Brazil
E-mail: ramb@amb.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] *Corresponding author: ealci@yahoo.com