Laser Usage in Sacrococcygeal Pilonidal Sinus Surgery

Abstract

Background: Sacrococcygeal pilonidal sinus disease is a common condition associated with recurrent infection, pain, discharge, delayed wound healing, and a negative impact on patients’ quality of life. Conventional surgical treatment remains widely used, but it may be associated with postoperative pain, prolonged wound care, delayed return to daily activity, complications, and recurrence. Recently, there has been increasing interest in minimally invasive techniques for pilonidal sinus management. Laser ablation, particularly using a 1470-nm radial diode laser fiber, has emerged as a promising approach that destroys the sinus tract epithelium, promotes tract contraction, improves wound healing, and reduces tissue trauma. Published studies have reported favorable outcomes with laser treatment, including high healing rates, low postoperative pain, short hospital stay, rapid return to normal activity, fewer complications, and relatively low recurrence rates. However, long-term follow-up and further comparative studies are still required to confirm its efficacy and define its role as a standard treatment option for sacrococcygeal pilonidal sinus disease.