Background: Published results have shown that Laser pilonidoplasty may be effective in management of pilonidal sinus (PNS). We report the final results of a case series study evaluating the safety and efficacy Diode Laser 980 nm in management of PNS.
Methods: this small case series study including twenty patient suffering from chronic primary PNS (single or branched ) between 18 and 36 years old, we carried out laser pilonidoplasty usind diode laser 980nm on continuous mode (power of 5 watt with power density 994 W/ cm2) with aradial fiber that emits heat energy in 3600 direction leading to photocoagulation of sinus tract by vaporization of water content of blood and tissues at rate 1.5 cm / min., the mean operative time was ( 27.2±4.18 )minute., at Sayed Galal Hospital and Tanta Insurance Hospital Egypt between January 2019 and December 2019 with follow up for ten months. The outcome was evaluated by recurrence or not.
Results: All twenty patients were treated using diode laser 980nm, The mean time for complete healing was (28.5±3.87 ) day. after ten months follow up ; recurrence occurs in one case ( 5% ).
Conclusion: Laser Pilonidoplasty is a simple, reasonable, feasible,minimal invasive, reproducible technique and competitive alternative to other surgical intervention. It is accompanied by a reduction in pain, early resuming work with decreased rate of recurrence. Inspite of surgical approach is still the standard modality for PNS treatment.