ArticleTechniques in coloproctology2019
The SiLaC procedure for pilonidal sinus disease: long-term outcomes of a single institution prospective study.
Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07408414 (Procjena Postoperativne Boli Konvencionalnom i Tumescentnom Anestezijom u Laserskom Tretmanu Pilonidalnog Sinusa), which is not on this map. Cited by 31 papers, 4 of them syntheses that pooled it.
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Procjena Postoperativne Boli Konvencionalnom i Tumescentnom Anestezijom u Laserskom Tretmanu Pilonidalnog Sinusa
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- A systematic review and meta-analysis of sinus laser associated closure (SiLaC) versus endoscopic pilonidal sinus treatment (EPSiT) in the management of pilonidal sinus disease.Langenbeck's archives of surgery · 2026Pooled it
- The Use of Methylene Blue in Pilonidal Sinus Surgery Reduces the Risk of Recurrence: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Non-excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review.Techniques in coloproctology · 2023Pooled it
- Laser treatment of pilonidal disease: a systematic review.Lasers in medical science · 2022Pooled it
- Laser-assisted endoscopic treatment of pilonidal sinus disease in children: a first pediatric series.Pediatric surgery international · 2026Article
- Early postoperative outcomes of sinus laser closure versus crystallized phenol treatment for pilonidal sinus disease: a retrospective comparative study.Techniques in coloproctology · 2026Article
- Sinus laser-assisted closure (SiLaC) in pilonidal sinus disease: a multicenter cohort study.Techniques in coloproctology · 2026Article
- Sinus laser-assisted closure for pilonidal sinus disease: a prospective single-center study.Annals of coloproctology · 2026Article
- Exploratory pilot study of minimally invasive therapy: laser ablation combined with acellular dermal matrix implantation for recurrent sacrococcygeal pilonidal disease.Frontiers in bioengineering and biotechnology · 2026Article
- Pilonidal Disease: A Brazilian epidemiological study with an overview of 45,000 surgeries performed in the Unified Health System.Revista do Colegio Brasileiro de Cirurgioes · 2026Article
- Future of pilonidal cyst surgery: a comparative review of traditional and laser techniques.BMC surgery · 2025Review
- Sinus laser therapy versus Karydakis flap procedure in the management of pilonidal sinus disease: a comparative analysis of intraoperative parameters and postoperative outcome.Techniques in coloproctology · 2024Article
- Does the holmium laser have a place in the treatment of pilonidal cysts? (Pilolas study).Lasers in medical science · 2024Article
- Long-term follow-up of pilonidal sinus disease treated by radial laser surgery.Langenbeck's archives of surgery · 2024Article
- Adolescent pilonidal disease laser treatment (a-PiLaT): a pilot study.Techniques in coloproctology · 2024Article
- Minimum energy laser pilonidotomy (MELPi): a multicenter study of a novel method in pilonidal disease.Updates in surgery · 2024Article
- Efficacy of laser obliteration with limited excision of pilonidal sinus.The Journal of international medical research · 2024Observational
- Comparison of laser ablation, simple excision, and flap reconstruction in the treatment of pilonidal sinus disease.Lasers in medical science · 2024Article
- Short- and mid-term results of diode laser treatment in pilonidal sinus disease and the role of endoscopic camera use on outcomes.Techniques in coloproctology · 2023Article
- Laser ablation: a unique and beneficial therapeutic option for pilonidal sinus? And the potential for further innovation-a review.Lasers in medical science · 2023Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2014, we started to treat pilonidal sinus disease in our institution with sinus laser-assisted closure (SiLaC) procedure. The aim of the present study was to evaluate the safety and efficacy of the SiLaC procedure in a single institution prospective study on a large cohort of patients and with a long follow-up period, and try to determine what factors that could influence healing and recurrence.
methodsA prospective study was conducted on consecutive patients with primary pilonidal sinus disease operated on with the SiLaC procedure at our institution from March 2015 to August 2017. Demographic and surgical data, outcomes, and complications were prospectively recorded and compared between the healed and not healed/recurrence groups to find factors influencing healing. Postoperative follow-up was performed in the outpatient clinic every 2 weeks for 2 months. In March 2018, patients were questioned by mail or phone to assess long-term recurrences.
resultsThere were 200 patients. The healing rate was high (94%) with a mean healing time of 19.5 ± 14.4 days. Mean operative time (9.4 ± 2.6 min) and mean duration of postoperative analgesic therapy (4.72 ± 5.64 days) were short. Postoperative complications (15%) were mainly infection (9.5%). There was a response rate of 77.5% to mail/phone questionnaires about recurrence. The recurrence rate was 14.9%. Mean time until recurrence was 193.5 ± 87.19 days. The incidence of secondary openings, complications, and infection in the healing vs not healed or recurrence groups, was 24.8% vs 56.6%, 19.2% vs 40%, and 8.8% vs 30%, respectively.
conclusionsSiLaC is an effective, easy to perform, reproducible, and almost painless procedure. Factors influencing healing seem to be the presence of secondary openings, postoperative complications, and, especially, infection. The SiLaC procedure could become one of the treatments of choice for pilonidal sinus disease.
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