Early results of diode laser ablation method combined with pit excision in the treatment of adolescent pilonidal sinuses

Objectives: In this study, we aimed to evaluate the results of the diode laser ablation combined with pit excision in adolescent pilonidal sinus disease (PSD). Patients and methods: Between January 2023 and July 2023, a total of 26 patients (16 males, 10 females; mean age: 15.2±1.4 years; range, 12 to 17 years) who underwent diode laser ablation combined with pit excision were retrospectively analyzed. Data including age, sex, number of sinuses, sinus length, postoperative pain, complications such as wound infection, wound bleeding, or recurrence, and time to return to the daily living activities were recorded. The NeoV V1470 diode laser was used in this method. Diode laser ablation was applied with a 2-mm radial probe with multiple pulses of 10 Watts for 3 sec. Results: The median sinus length was 2.00 (range, 1 to 10) cm, and the median number of pits was 2.00 (range, 1 to 6). Three patients were relapsed patients who were previously treated for PSD. Laser ablation was successful in these patients. No postoperative pain or bleeding was observed postoperatively. All patients returned to their daily living activities the next day. The success rate of diode laser ablation combined with pit excision in adolescent PSD was 92.3%. Conclusion: The diode laser ablation combined with pit excision is effective and minimally invasive treatment in uncomplicated adolescent PSD.