Nd-YAG laser treatment of primary and recurrent pilonidal sinus

Christine S Lindholt-Jensen, Jes Sanddal Lindholt, Malene Beyer, Jan S Lindholt

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

A pilonidal sinus usually contains hair and extensive vascularization due to inflammation, which theoretically gives Nd-YAG laser waves the potential to destroy the deep fistula systems of the sinus without affecting the overlying skin. We describe our preliminary experience with Nd-YAG laser waves in the treatment of pilonidal sinus. A total of 41 consecutive patients with pilonidal sinus underwent the intended Nd-YAG laser treatment. Structured telephone interviews were carried out in 37 patients (90%). The median duration of treatment and observation time were 5.1 months and 15.2 months, respectively. Three patients (7%) received additional surgery: two had granulomas removed via a minor excision, and one requested more traditional surgery. At follow-up, 28 out of the 37 patients (75.7%) reported freedom from symptoms without supplementary treatment, and 30 (81%) were symptom-free after supplementary laser treatment and minimal surgery, if needed. We have identified a potential treatment for pilonidal sinus that is extremely gentle compared with conventional surgery. We aim to substantially increase the cohort of patients undergoing this treatment and follow up these patients with a register-based technique with a comparable control group. The Nd-YAG laser may prove to be an attractive treatment alternative for pilonidal sinus.
OriginalsprogEngelsk
TidsskriftLasers in Medical Science
Vol/bind27
Udgave nummer2
Sider (fra-til)505-8
Antal sider4
ISSN0268-8921
DOI
StatusUdgivet - 2012
Udgivet eksterntJa

Fingeraftryk

Pilonidal Sinus
Solid-State Lasers
Hair
Observation
Interviews
Control Groups
Skin

Citer dette

Lindholt-Jensen, Christine S ; Lindholt, Jes Sanddal ; Beyer, Malene ; Lindholt, Jan S. / Nd-YAG laser treatment of primary and recurrent pilonidal sinus. I: Lasers in Medical Science. 2012 ; Bind 27, Nr. 2. s. 505-8.
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title = "Nd-YAG laser treatment of primary and recurrent pilonidal sinus",
abstract = "A pilonidal sinus usually contains hair and extensive vascularization due to inflammation, which theoretically gives Nd-YAG laser waves the potential to destroy the deep fistula systems of the sinus without affecting the overlying skin. We describe our preliminary experience with Nd-YAG laser waves in the treatment of pilonidal sinus. A total of 41 consecutive patients with pilonidal sinus underwent the intended Nd-YAG laser treatment. Structured telephone interviews were carried out in 37 patients (90{\%}). The median duration of treatment and observation time were 5.1 months and 15.2 months, respectively. Three patients (7{\%}) received additional surgery: two had granulomas removed via a minor excision, and one requested more traditional surgery. At follow-up, 28 out of the 37 patients (75.7{\%}) reported freedom from symptoms without supplementary treatment, and 30 (81{\%}) were symptom-free after supplementary laser treatment and minimal surgery, if needed. We have identified a potential treatment for pilonidal sinus that is extremely gentle compared with conventional surgery. We aim to substantially increase the cohort of patients undergoing this treatment and follow up these patients with a register-based technique with a comparable control group. The Nd-YAG laser may prove to be an attractive treatment alternative for pilonidal sinus.",
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Nd-YAG laser treatment of primary and recurrent pilonidal sinus. / Lindholt-Jensen, Christine S; Lindholt, Jes Sanddal; Beyer, Malene; Lindholt, Jan S.

I: Lasers in Medical Science, Bind 27, Nr. 2, 2012, s. 505-8.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Nd-YAG laser treatment of primary and recurrent pilonidal sinus

AU - Lindholt-Jensen, Christine S

AU - Lindholt, Jes Sanddal

AU - Beyer, Malene

AU - Lindholt, Jan S

PY - 2012

Y1 - 2012

N2 - A pilonidal sinus usually contains hair and extensive vascularization due to inflammation, which theoretically gives Nd-YAG laser waves the potential to destroy the deep fistula systems of the sinus without affecting the overlying skin. We describe our preliminary experience with Nd-YAG laser waves in the treatment of pilonidal sinus. A total of 41 consecutive patients with pilonidal sinus underwent the intended Nd-YAG laser treatment. Structured telephone interviews were carried out in 37 patients (90%). The median duration of treatment and observation time were 5.1 months and 15.2 months, respectively. Three patients (7%) received additional surgery: two had granulomas removed via a minor excision, and one requested more traditional surgery. At follow-up, 28 out of the 37 patients (75.7%) reported freedom from symptoms without supplementary treatment, and 30 (81%) were symptom-free after supplementary laser treatment and minimal surgery, if needed. We have identified a potential treatment for pilonidal sinus that is extremely gentle compared with conventional surgery. We aim to substantially increase the cohort of patients undergoing this treatment and follow up these patients with a register-based technique with a comparable control group. The Nd-YAG laser may prove to be an attractive treatment alternative for pilonidal sinus.

AB - A pilonidal sinus usually contains hair and extensive vascularization due to inflammation, which theoretically gives Nd-YAG laser waves the potential to destroy the deep fistula systems of the sinus without affecting the overlying skin. We describe our preliminary experience with Nd-YAG laser waves in the treatment of pilonidal sinus. A total of 41 consecutive patients with pilonidal sinus underwent the intended Nd-YAG laser treatment. Structured telephone interviews were carried out in 37 patients (90%). The median duration of treatment and observation time were 5.1 months and 15.2 months, respectively. Three patients (7%) received additional surgery: two had granulomas removed via a minor excision, and one requested more traditional surgery. At follow-up, 28 out of the 37 patients (75.7%) reported freedom from symptoms without supplementary treatment, and 30 (81%) were symptom-free after supplementary laser treatment and minimal surgery, if needed. We have identified a potential treatment for pilonidal sinus that is extremely gentle compared with conventional surgery. We aim to substantially increase the cohort of patients undergoing this treatment and follow up these patients with a register-based technique with a comparable control group. The Nd-YAG laser may prove to be an attractive treatment alternative for pilonidal sinus.

U2 - 10.1007/s10103-011-0990-2

DO - 10.1007/s10103-011-0990-2

M3 - Journal article

VL - 27

SP - 505

EP - 508

JO - Lasers in Medical Science

JF - Lasers in Medical Science

SN - 0268-8921

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ER -