Abstract：
Nowadays, surgical treatment of pilonidal sinus disease (PSD) with novel techniques is a topic of interest since conventional methods are associated with longer return to daily life and higher complication and recurrence rates. Recently, use of laser as a minimally invasive approach has become popular in the surgical treatment of PSD. In this study, we analyze the short- and mid-term results after laser treatment and the effect of endoscopic camera use on outcomes.
A total of 106 patients with PSD who underwent laser treatment between November 2017 and September 2021 were included in this study. All patients were treated with a 1470-nm diode laser. Endoscopic camera was used in 73 patients and results of these were compared with those in whom camera was not used. Follow-up period was determined as a minimum of 1 year. Data were analyzed retrospectively.
There were 80 (75%) male and 26 female patients. The median age was 26 (range 13-50) years. On the first postoperative day, 26 (26.5%) patients did not have any pain and 42(42.8%) patients reported low-grade pain. The mean time to return to daily life was 4.5 ± 5.5 (median 2, range 1-30) days. The complication rate was 10.4%. Eighty-six (87.8%) patients completely recovered and the mean complete recovery time was 27.4 ± 15.9 days. The patient satisfaction rate was 99.0%. The recurrence rate was 11.0%. Neither history of previous surgery nor abscess was associated with recurrence. Use of an endoscopic camera had no effect on postoperative pain, complete recovery, complications, patient satisfaction, and recurrence (p < 0.05).
Laser treatment for PSD is a promising approach with the advantages of less postoperative pain, early return to daily life, high patient satisfaction, and acceptable complication and recurrence rates. Nevertheless, further studies are needed to investigate the role of endoscopic camera use in this procedure since its possible advantages could not be clarified.
A total of 106 patients with PSD who underwent laser treatment between November 2017 and September 2021 were included in this study. All patients were treated with a 1470-nm diode laser. Endoscopic camera was used in 73 patients and results of these were compared with those in whom camera was not used. Follow-up period was determined as a minimum of 1 year. Data were analyzed retrospectively.
There were 80 (75%) male and 26 female patients. The median age was 26 (range 13-50) years. On the first postoperative day, 26 (26.5%) patients did not have any pain and 42(42.8%) patients reported low-grade pain. The mean time to return to daily life was 4.5 ± 5.5 (median 2, range 1-30) days. The complication rate was 10.4%. Eighty-six (87.8%) patients completely recovered and the mean complete recovery time was 27.4 ± 15.9 days. The patient satisfaction rate was 99.0%. The recurrence rate was 11.0%. Neither history of previous surgery nor abscess was associated with recurrence. Use of an endoscopic camera had no effect on postoperative pain, complete recovery, complications, patient satisfaction, and recurrence (p < 0.05).
Laser treatment for PSD is a promising approach with the advantages of less postoperative pain, early return to daily life, high patient satisfaction, and acceptable complication and recurrence rates. Nevertheless, further studies are needed to investigate the role of endoscopic camera use in this procedure since its possible advantages could not be clarified.
摘要：
目标：如今，用新技术手术治疗藏毛窦疾病(PSD)是一个令人感兴趣的话题,因为传统方法与恢复日常生活的时间更长,并发症和复发率更高相关.最近,使用激光作为微创方法已成为PSD的手术治疗中的流行方法。在这项研究中,我们分析了激光治疗后的短期和中期结果,以及内窥镜摄像头的使用对结局的影响.
方法：本研究纳入了2017年11月至2021年9月期间接受激光治疗的106例PSD患者。所有患者均接受1470nm二极管激光治疗。73例患者使用了内窥镜摄像机，并将其结果与未使用摄像机的患者进行了比较。随访期确定为至少1年。对数据进行回顾性分析。
结果：有80例（75％）男性和26例女性患者。中位年龄为26岁（范围13-50岁）。术后第一天,26例（26.5%）患者没有任何疼痛，42例（42.8%）患者报告低度疼痛。恢复日常生活的平均时间为4.5±5.5（中位数2，范围1-30）天。并发症发生率为10.4%。86例（87.8％）患者完全恢复，平均完全恢复时间为27.4±15.9天。患者满意率为99.0%。复发率为11.0%。既往手术史和脓肿均与复发无关。使用内窥镜摄像头对术后疼痛没有影响，完全恢复,并发症,患者满意度,复发（p<0.05）。
结论：激光治疗PSD是一种有前途的方法，具有术后疼痛少的优点，早日回归日常生活，患者满意度高,以及可接受的并发症和复发率。然而，需要进一步的研究来研究内窥镜相机在该手术中的作用,因为其可能的优势尚不清楚.
方法：本研究纳入了2017年11月至2021年9月期间接受激光治疗的106例PSD患者。所有患者均接受1470nm二极管激光治疗。73例患者使用了内窥镜摄像机，并将其结果与未使用摄像机的患者进行了比较。随访期确定为至少1年。对数据进行回顾性分析。
结果：有80例（75％）男性和26例女性患者。中位年龄为26岁（范围13-50岁）。术后第一天,26例（26.5%）患者没有任何疼痛，42例（42.8%）患者报告低度疼痛。恢复日常生活的平均时间为4.5±5.5（中位数2，范围1-30）天。并发症发生率为10.4%。86例（87.8％）患者完全恢复，平均完全恢复时间为27.4±15.9天。患者满意率为99.0%。复发率为11.0%。既往手术史和脓肿均与复发无关。使用内窥镜摄像头对术后疼痛没有影响，完全恢复,并发症,患者满意度,复发（p<0.05）。
结论：激光治疗PSD是一种有前途的方法，具有术后疼痛少的优点，早日回归日常生活，患者满意度高,以及可接受的并发症和复发率。然而，需要进一步的研究来研究内窥镜相机在该手术中的作用,因为其可能的优势尚不清楚.
