TREATMENT OF PILONIDAL DISEASE BY LASER ABLATION: A STUDY.
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Abstract
The treatment of pilonidal disease is still challenging. This study aimed to evaluate the efficacy of laser ablation using 1470‐nm radial diode laser in treatment.
We retrospectively studied the data of our 30 patients who operated on this technique between August 2024 and November 2024. All patients were treated with laser ablation using 1470‐nm radial diode laser fiber. The healing rate and recurrence rate, surgical data, postoperative pain, complications, time of returning to regular work, and the time of wound healing were recorded. Postoperative pain was measured based on the visual Analog scale (VAS) score. Postoperative follow-up was performed in the outpatient clinic every weekly.
Among the 30 patients, 23 males and 7 females, with a mean age of 27.7 years (range 14–42), the healing rate was 100%, and the average healing time was 28.3 ± 5.5 days. Mean operative time was 15.5 ± 3.3 min. The recurrence rate was 3.3%. The median visual analog scale score on the day of operation was 0(0,2). The median VAS score on the first, third, seventh, and fourteenth day after operation was 0(0,2), 0(0,1), 0(0,1), and 0(0,0), respectively. The mean time to normal work/life was 7.1 ± 3.2 days. Ten patients had undergone incision and received drainage of sinus abscess, and 5 patients had undergone PD-related surgery. The sinuses of 3 patients were in the acute stage in the absence of abscess, and the others were in the chronic stage.
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Sagar Ramesh Ambre MS, FIBS, FICS, FMAS, FISCP, FASI, FIAGES, FALS
Associate Professor Department of General Surgery and Breast disease division, Consultant Breast and laparoscopic Surgeon, Dr N. Y. Tasgaonkar Medical College, Raigad hospital and Research Centre.
Apoorva Adhik Patil MBBS
Intern, Dr. N. Y. Tasgaonkar Medical College, Raigad Hospital and Research Center, Karjat, Maharashtra, India.
Aakash Vishal Banerjee MBBS
Intern, Dr. N. Y. Tasgaonkar Medical College, Raigad Hospital and Research Center, Karjat, Maharashtra, India.
Amarsingh Kamble MS
Assistant Professor Department of General Surgery, Dr N. Y. Tasgaonkar Medical College, Raigad Hospital and Research Centre.