Evaluation of 60 patients with pilonidal sinus treated with laser epilation after surgery.
BACKGROUND
The surgical treatments for pilonidal sinus disease often result in recurrences, and the patients risk requiring multiple surgical interventions.


OBJECTIVE
To evaluate the role of alexandrite laser hair removal after surgery in pilonidal sinus disease.


METHODS
Sixty patients who underwent surgical treatment of pilonidal sinus disease and were treated with a 755-nm alexandrite laser after surgery between 1999 and 2007 were examined retrospectively. The charts were reviewed, and the patients were interviewed on the telephone about their post-laser period and recurrence. The laser parameters, patient history, and surgical details were recorded.


RESULTS
The overall recurrence rate was 13.3%, after a mean follow-up period +/- standard error of the mean of 4.8 +/- 0.3 years. The mean number of laser treatment was 2.7 +/- 0.1. Seventy-five percent of the recurrences were detected after a follow-up period of 5 to 9 years. Fifty percent of the recurrent cases had drainage and secondary intention before the laser epilation.


CONCLUSIONS
Our results strongly suggest that laser hair removal after surgical interventions in pilonidal sinus disease decreases the risk of recurrence over the long term.
Oram
Yasemin
Y
Dermatology Unit, American Hospital, Istanbul, Turkey. dryaseminoram@mynet.com
Kahraman
Ferayi
F
Karincaoğlu
Yelda
Y
Koyuncu
Erkan
E
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006204:Hair Removal / Q000379:methods*; D006801:Humans; D053844:Lasers, Solid-State; D028022:Low-Level Light Therapy; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D055502:Secondary Prevention; D055815:Young Adult