Clinical Evaluation of Diode Laser Pilonidotomy Combined with Seton Placement in the Management of Pilonidal Sinus: A Prospective Case Series of 100 Patients | ||
| Journal of Bioscience and Applied Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 29 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jbaar.2025.400870.1246 | ||
| Authors | ||
| Ahmed Mohsin1; Modhar Alomery2; Shakir Saied3; Mohanad Y. Saleh* 4 | ||
| 1Alsalam teaching hospital, M.B.Ch.B, Mosul, Iraq | ||
| 2Alsalam teaching hospital, Consultant Surgeon, Mosul, Iraq | ||
| 3Department of Medicinal and Clinical laboratories; College of Pharmacy; Al-Noor University, Mosul, Iraq | ||
| 4Department of Chemistry, College of Education for Pure Science, University of Mosul - Iraq | ||
| Abstract | ||
| Surgical intervention remains the cornerstone of pilonidal sinus (PNS) treatment, yet the optimal technique is debated. This prospective case series evaluates the efficacy of diode laser pilonidotomy combined with seton placement (SiLaS) in 100 patients treated between February 2022 and May 2023. The procedure utilized a 1470 nm diode laser with a radial fiber for tract ablation, followed by seton insertion for drainage. Objectives included assessing operative duration, hospitalization, healing time, complications, recurrence, and patient satisfaction. Mean surgery time was 25 minutes, with a 2-hour hospital stay. Recovery and complete healing averaged 4 days and 6 weeks, respectively. The recurrence rate was 2%, with a 98% success rate and 100% patient satisfaction. Postoperative Visual Analog Scale (VAS) scores showed significant improvement (p<0.001). We conclude that the SiLaS technique is a highly effective, minimally invasive, sphincter-sparing procedure for PNS, offering rapid recovery, minimal pain, low complication and recurrence rates, and excellent patient outcomes, making it a valuable treatment option. | ||
| Keywords | ||
| Anal fistulas treatment; Fistula-tract Laser; Pilonidal sinus (PNS); Seton FiLaS; Seton and Laser | ||
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