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Pilonidal sinus laser-assisted closure (PiLAC) - a low-morbidity alternative to excision with excellent long-term outcomes.
Johnson, D E; Granville, R; Lovett, E; Runau, F; Chaudhri, S.
Afiliación
  • Johnson DE; University Hospitals of Leicester NHS Trust, UK.
  • Granville R; University Hospitals of Leicester NHS Trust, UK.
  • Lovett E; University Hospitals of Leicester NHS Trust, UK.
  • Runau F; University Hospitals of Leicester NHS Trust, UK.
  • Chaudhri S; University Hospitals of Leicester NHS Trust, UK.
Ann R Coll Surg Engl ; 105(2): 132-135, 2023 Feb.
Article en En | MEDLINE | ID: mdl-35446708
INTRODUCTION: Recurrence after surgery for pilonidal sinus disease is a recognised problem and patients often re-present months after discharge. We routinely treat primary and recurrent pilonidal sinus disease with Pilonidal sinus Laser-Assisted Closure (PiLAC). Long-term outcomes following PiLAC surgery was examined following clinical and telephone review. METHODS: All patients undergoing PiLAC as a day-case between April 2016 and July 2019 were included. Patients were followed up in a nurse-led clinic until complete healing or recurrence. A prospective database and retrospective audit of notes combined with longer-term follow-up by telephone were used. RESULTS: A total of 35 patients underwent PiLAC, median age 28 (18-53 years), 28 males:7 females. A total of 28 patients had long-term (>60 days) follow-up, mean 407 days (range 67-887 days); 25/28 patients (89.3%) had healed with no recurrence on long-term follow-up. Of these 28 patients, 11 were first presentation of pilonidal disease and underwent PiLAC as their first treatment, with a 91% heal rate long term. A total of 15 patients had seton drainage prior to PiLAC, with a 93% heal rate versus no seton (83%). Fisher's exact test showed no significant difference between sex, new/recurrent pilonidal disease and seton placement (p>0.05). CONCLUSIONS: Healing after PiLAC for the treatment of primary and recurrent pilonidal sinus disease is preserved with excellent long-term outcomes. We recommend it as an alternative to surgical excision.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Seno Pilonidal Límite: Adult / Female / Humans / Male Idioma: En Revista: Ann R Coll Surg Engl Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Seno Pilonidal Límite: Adult / Female / Humans / Male Idioma: En Revista: Ann R Coll Surg Engl Año: 2023 Tipo del documento: Article