An effective and considerable treatment of pilonidal sinus disease by laser ablation
Treating sacrococcygeal pilonidal disease (SPD) remains challenging, with no consensus on the best approach. This study evaluates the efficacy of 1470-nm radial diode laser fiber ablation in 48 patients treated between March 2019 and July 2022. The healing rate was 100%, with an average healing time of 28.3 days. The mean operative time was 15.5 minutes, and the recurrence rate was 2.1%. Postoperative pain was minimal, with no infections or bleeding. Patients resumed normal activities in 7.1 days on average and were highly satisfied. The 1470-nm radial diode laser fiber is effective, safe, minimally invasive, and promising for SPD treatment.