Comparison of short- and long-term outcomes of diode laser vs. crystallized phenol treatment for pilonidal sinus disease: A propensity score-matched multicentre study

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dc.authorid0000-0002-2073-842X
dc.authorid0000-0002-3748-4649
dc.authorid0000-0001-5424-9037
dc.authorid0000-0002-5211-1779
dc.authorid0000-0002-4707-6059
dc.authorid0000-0002-7706-7532
dc.authorid0000-0002-5317-8545
dc.authorid0000-0002-6413-6949
dc.authorid0000-0001-7761-7074
dc.authorid0000-0003-1797-1770
dc.authorid0000-0001-9700-0450
dc.authorid0000-0002-2131-3298
dc.authorid0000-0003-1704-2533
dc.authorid0000-0002-8761-3904
dc.contributor.authorBilgin, İsmail Ahmet
dc.contributor.authorRamoğlu, Nur
dc.contributor.authorSaylık, Onur
dc.contributor.authorBenlice, Çigdem
dc.contributor.authorErkaya, Metincan
dc.contributor.authorKurtul, İnci
dc.contributor.authorAghayeva, Afag
dc.contributor.authorTuran, Ersin
dc.contributor.authorMaden, Abdullah Sami
dc.contributor.authorAcar, Fahrettin
dc.contributor.authorKarahasanoğlu, Tayfun
dc.contributor.authorHamzaoğlu, İsmail
dc.contributor.authorBaca, Bilgi
dc.contributor.authorDoğru, Osman
dc.date.accessioned2025-11-20T13:16:24Z
dc.date.available2025-11-20T13:16:24Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractAim: Pilonidal sinus disease (PSD) primarily affects young adults; rapid recovery is essential and yet lacks a standardized treatment approach. While excisional techniques delay recovery, minimally invasive options like laser ablation and phenol application are gaining interest, yet comparative long-term evidence is scarce. This study compared short- and long-term outcomes of laser versus phenol treatment in PSD. Method: In this multicentre retrospective cohort study (Nov. 2017–Sep. 2024), patients treated with laser or phenol were included. 1:3 propensity score matching using the nearest neighbour algorithm was performed based on age, gender, prior surgical history and year of operation. Categorical variables were analysed using chi-squared or Fisher's exact tests, whereas continuous variables were compared using Student's t-test or Mann– Whitney U test depending on distribution normality. Results: Out of 897 eligible patients, 644 were included (median age: 26 years, body mass index [BMI]: 26.2 kg/m2 , male-to-female ratio: 4:1). The number of sinuses/pits was 2–3 in both groups. Operating time was significantly longer in the laser group. Complications occurred in 6.8% of laser patients, whereas none were reported in the phenol group. Pain scores were higher in the laser group (2 [1–3] vs. 1 [0–2]). Median follow-up was 45 months (laser) and 40 months (phenol). Return to daily activities was delayed in the laser group, whereas complete healing was slower in the phenol group. Readmission, recurrence and recovery rates were comparable (85%–86%). Conclusion: Both treatments demonstrated low complication and recurrence rates with high recovery rates. Laser favoured faster healing and fewer sessions, whereas phenol allowed for shorter procedures and earlier return to daily life.
dc.identifier.citationBilgin, İ. A., Ramoğlu, N., Saylık, O., Benlice, Ç., Erkaya, M., Kurtul, İ., Aghayeva, A., Turan, E., Maden, A. S., Acar, F., Karahasanoğlu, T., Hamzaoğlu, İ., Doğru, O., & Baca, B. (2025). Comparison of short- and long-term outcomes of diode laser vs. crystallized phenol treatment for pilonidal sinus disease: A propensity score-matched multicentre study. Colorectal Disease, 27(11), pp. 1-9. https://doi.org/10.1111/codi.70282
dc.identifier.doi10.1111/codi.70282
dc.identifier.endpage9
dc.identifier.issn1463-1318
dc.identifier.issn1462-8910
dc.identifier.issue11
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1111/codi.70282
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1193
dc.identifier.volume27
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorBenlice, Çigdem
dc.institutionauthorid0000-0002-5211-1779
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofColorectal Disease
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLaser Ablation
dc.subjectMinimally Invasive Surgery
dc.subjectPhenol Application
dc.subjectPilonidal Sinus Disease
dc.titleComparison of short- and long-term outcomes of diode laser vs. crystallized phenol treatment for pilonidal sinus disease: A propensity score-matched multicentre study
dc.typeArticle
dspace.entity.typePublication

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