Outcomes of Two Treatments for Uncomplicated Pilonidal Sinus Disease: Karydakis Flap Procedure and Sinus Tract Ablation Procedure Using a 1,470 nm Diode Laser Combined With Pit Excision
Özet
Background and Objectives: An ideal treatment for
pilonidal disease should feature a low recurrence rate,
minimal incision, and rapid return to daily activities. We
compared the outcomes of the well‐defined Karydakis
technique (KT) and a combination of pit excision (PE) and
sinus tract ablation using 1,470‐nm diode laser.
Study Design/Materials and Methods: In this
study, from January 2016 to January 2018, patients
diagnosed with uncomplicated early‐stage pilonidal
sinus disease were enrolled and were treated randomly,
using KT (n = 28) or a PE/laser ablation technique
(PE + LAT; n = 30).
Results: The mean operative times were 36.4 (25–
45) minutes in the KT group and 15.1 (12–20) minutes in
the PE + LAT group. Postoperative Visual Analog Scale
pain scores were 4.4 in the KT group and 2.1 in the
PE + LAT group. The time periods to return to normal
daily activities were 2.6 (1–5) days in the PE + LAT group
and 12.8 (10–20) days in the KT group. The mean Likert
satisfaction scores were 3.8 in the KT group and 4.8 in the
PE + LAT group. The groups did not differ in terms of
recurrence.
Conclusions: Compared with the KT, the PE + LAT was
associated with a shorter operative time, a more rapid
return to normal activities, less pain, and a higher level of
subjective satisfaction. We found that the PE + LAT was
better than the KT for patients with early‐stage disease.
Lasers Surg. Med. © 2020 Wiley Periodicals, Inc.
Cilt
52Sayı
9Bağlantı
https://hdl.handle.net/11363/5383Koleksiyonlar
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