LaPSe method: A novel laser assisted surgical technique in the treatment of pilonidal disease
Aim-Background: Our objective is to introduce a novel laser assisted surgical technique in the treatment of pilonidal sinus disease. Laser assisted pilonidal sinus excision (LaPSe) method is a combination of novel diode laser technology and minimally invasive surgical technique. Primary goal is to achieve recurrence rates lower or similar to the classic primary open technique while
incorporating the benefits of diode laser technology.
Method: This is a prospective study. A total of 21 patients, 19 males and 2 females, median age 22, underwent laser assisted pilonidal sinus excision surgery for pilonidal disease between January and August 2018. The procedure was performed in a step by step approach under local anesthesia. Follow up was obtained on the tenth post operative day by means of physical examination, and at three and six months, with phone call interview.
Results: Mean operation time was 33, 5 minutes. All patients had an uneventful procedure and were discharged within one hour after the operation. Physical examination on the tenth post
operative day showed proper wound healing in all the cases. One patient needed painkillers for the first post operative day. One patient had delayed wound healing that was treated
conservatively, with no need for reoperation. Follow up at three and six months was clear for all the patients, with no reported symptoms or signs of recurrence.
Conclusion: LaPSe method is a new laser assisted step wise approach in the treatment of pilonidal disease with very promising preliminary results regarding recurrence and high acceptance rates by the patients in terms of postoperative comfort and functionality.