Short Term Outcome of Laser Therapy in Management of Pilonidal Sinus Disease

Background: As an alternative to standard surgical procedures, laser therapy has recently been available as a less intrusive alternative for treating pilonidal sinus illness. Patients report less pain and a quicker recovery time after laser therapy. This study aimed for evaluation of the minimally invasive treatment efficacy as a tool for management of pilonidal sinus using radial laser probe for obliteration of the pilonidal sinus tracts. Methods: This prospective study was performed on 30 patients who had chronic pilonidal sinus, they were managed using Laser Pilonidotomy at Department of General Surgery at Zagazig University between April 2022 and April 2023. Results: Three patients experienced minor complications: one with wound infection (3.3%) and two with persistent seroma discharge (6.7%), both resolved with antibiotics and daily dressing. There was no postoperative bleeding, and the average time to resume normal activities was 12 ± 3.2 days. Complete wound healing occurred within 23.0 ± 5.5 days, with a healing rate of 93.4%, while patients reported walking pain-free within 3.0 ± 1.2 days. Narcotics were not required, and most patients did not need analgesics. Complete healing was linked to fewer pilonidal pits and shorter sinus tracks. Conclusion: Laser therapy could be a quick, safe, and minimally invasive technique for managing pilonidal cysts and sinuses. It demonstrates a high success rate and patient satisfaction, making it an appealing option for most patients with pilonidal disease.