Does laser treatment affect outcome in pilonidal sinus disease? Long-term multicenter retrospective analysis of pit-picking alone vs. pit-picking with laser

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dc.authorid0000-0002-2282-7207
dc.authorid0000-0002-2073-842X
dc.authorid0000-0002-4808-1538
dc.authorid0000-0002-1560-7740
dc.authorid0000-0001-7040-4228
dc.authorid0000-0003-0538-7753
dc.authorid0000-0002-3748-4649
dc.authorid0000-0002-4789-9805
dc.authorid0000-0002-4878-0873
dc.authorid0000-0003-2946-9569
dc.contributor.authorArslan, Naciye Çiğdem
dc.contributor.authorBilgin, İsmail Ahmet
dc.contributor.authorGülcü, Barış
dc.contributor.authorBayraktar, Barış
dc.contributor.authorEray, İsmail Cem
dc.contributor.authorBisgin, Tayfun
dc.contributor.authorYıldırım, Yasemin
dc.contributor.authorAghayeva, Afaq
dc.contributor.authorAydın, İshak
dc.contributor.authorBilgiç, Çağrı
dc.contributor.authorBölük, Salih
dc.contributor.authorKurtul, Cahide İnci
dc.contributor.authorRamoğlu, Nur
dc.contributor.authorYıldırım, Ali
dc.contributor.authorErenler Bayraktar, İlknur
dc.contributor.authorBayraktar, Onur
dc.date.accessioned2026-05-18T12:26:52Z
dc.date.available2026-05-18T12:26:52Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractObjectives: The optimal management of pilonidal sinus disease (PSD) remains controversial, with multiple treatment approaches available. Pit-picking is a minimally invasive technique, often enhanced with laser treatment (LT), but the long-term benefits of LT remain uncertain. The objective of this study is to compare pit-picking alone versus pit-picking combined with LT. Methods: This is a multicenter retrospective cohort study including seven centers across Turkey. Patients who underwent pit-picking surgery for PSD between June 2017 and March 2025 were included. Patients receiving adjunctive treatments beyond LT, undergoing excisional procedures, or with incomplete follow-up data were excluded. Pit-picking surgeries performed with or without LT were compared. The primary measure was the recurrence rate at 5 years. Secondary outcomes were postoperative pain, time to complete healing, complications, return to work, and costs. Results: Of 306 patients, 109 (35.6%) underwent pit-picking alone, and 197 (64.4%) received pit-picking with LT. The complication rate was lower in the LT group (6.1% vs. 14.7%, p = 0.012). Patients treated with LT had shorter times to pain-free sitting (median 5 vs. 7 days, p < 0.001) and return to work (3 vs. 6 days, p < 0.001). Complete healing was achieved in 97.4% of patients, with a median time of 14 days. Recurrence rates at 5 years were similar (pit-picking: 13.8%, pit-picking + LT: 12.7%, p = 0.460). Costs were higher for the LT group ($1212 ± 146 vs. $888 ± 148), although complicated pit-picking cases had comparable costs to the LT group ($1198 ± 370, p = 0.004). Risk factors for recurrence included high BMI, family history, advanced Tezel stage, and postoperative complications. Conclusions: While LT improves early postoperative outcomes, it does not impact long-term recurrence rates. The increased cost of LT should be weighed against its benefits in reducing complications, pain, and recovery time. Further randomized trials are needed to refine patient selection criteria and assess cost-effectiveness.
dc.identifier.citationArslan, N. Ç., Bilgin, İ. A., Gülcü, B., Bayraktar, B., Eray, İ. C., Bisgin, T., Yıldırım, Y., Aghayeva, A., Aydın, İ., Bilgiç, Ç., Bölük, S., Kurtul, C. İ., Ramoğlu, N., Yıldırım, A., Erenler Bayraktar, İ., & Bayraktar, O. (2026). Does laser treatment affect outcome in pilonidal sinus disease? Long-term multicenter retrospective analysis of pit-picking alone vs. pit-picking with laser. Techniques in Coloproctology, pp. 1-27. https://doi.org/10.1007/s10151-026-03314-8
dc.identifier.doi10.1007/s10151-026-03314-8
dc.identifier.endpage27
dc.identifier.issn1128-045X
dc.identifier.issn1123-6337
dc.identifier.pmidPMID: 42128975
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1007/s10151-026-03314-8
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1485
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorArslan, Naciye Çiğdem
dc.institutionauthorErenler Bayraktar, İlknur
dc.institutionauthorid0000-0002-2282-7207
dc.institutionauthorid0000-0002-4878-0873
dc.language.isoen
dc.publisherSpringer Nature Link
dc.relation.ispartofTechniques in Coloproctology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPilonidal Sinus Disease
dc.subjectPit-Picking
dc.subjectLaser Treatment
dc.subjectRecurrence
dc.titleDoes laser treatment affect outcome in pilonidal sinus disease? Long-term multicenter retrospective analysis of pit-picking alone vs. pit-picking with laser
dc.typeArticle
dspace.entity.typePublication

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