Evidence map›Paper›PMID 34993686›Full record

ArticleTechniques in coloproctology2022

Sinus laser-assisted closure (SiLaC®) for pilonidal disease: results of a multicentre cohort study.

Tania C Sluckin, Sanne-Marije J A Hazen, Robert M Smeenk, Ruben Schouten

2 registry-linked trialsAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06140199 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Comparing Minimally Invasive Treatments for Pilonidal Disease: LA POPA Trial (Laser And Pit-picking OR Pit-picking Alone)

TypeinterventionalSponsordr. IJM Han-GeurtsRan2024 to 2032Enrolled482ConditionsPilonidal Sinus, Pilonidal Disease, Pilonidal Sinus of Natal Cleft, Pilonidal Disease of Natal CleftArmsPit-picking surgery, Pit-picking surgery with Sinus Laser assisted Closure
NCT07557589 narecruitingnot on this mapstarted 2026, after this paper: background citation

Radiofrequency Treatment for Pilonidal Disease : Clinical Investigation on Safety of Use, Efficacy and Patient Satisfaction at 6 Months

TypeinterventionalSponsorCHI MONT DE MARSAN ET PAYS DES SOURCESRan2026 to 2027Enrolled60ConditionsInfected Pilonidal SinusArmsRadiofrequency treatment
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Tania C Sluckin *Department of Surgery, Flevoziekenhuis, 1 Hospitaalweg, 1315 RA, Almere, The Netherlands.
Sanne-Marije J A Hazen *Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Robert M SmeenkDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Ruben SchoutenDepartment of Surgery, Flevoziekenhuis, 1 Hospitaalweg, 1315 RA, Almere, The Netherlands. ruschouten@flevoziekenhuis.nl.ORCID http://orcid.org/0000-0003-3523-6868
Albert Schweitzer Ziekenhuis · NLFlevoziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn emerging and promising minimally invasive treatment for pilonidal disease (PD) is sinus laser-assisted closure (SiLaC®). Previous studies have shown encouraging results concerning safety, patient satisfaction, wound healing and acceptable recurrence rates. This study investigated outcomes for a large cohort of PD patients treated with SiLaC®.

methodsA multicentre cohort study with a prospective design and partial retrospective data collection for patients with PD treated with SiLaC® in three hospitals in the Netherlands (Albert Schweitzer Hospital, Flevoziekenhuis and Medical Centre Zuiderzee) from January 1st 2017 to March 1st 2020. The primary outcome was recurrence. Secondary outcomes were incidence of complete wound closure, time until wound closure, postoperative complications, ability to perform daily activities and reported patient satisfaction.

resultsA total of 311 patients were included with a median follow-up of 10 months (range 1-52 months). The recurrence rate after one SiLaC® treatment was 26% with 7% experiencing incomplete wound closure, resulting in an initial success rate of 66% after one SiLaC® procedure. This increased to 92% and 98% after two and three SiLaC® procedures, respectively. Mean time until wound closure was 6 weeks (range 1-24 weeks). Seven patients (2%) were still unsuccessfully treated after three SiLaC® treatments and required additional and extensive surgery. Mean time to perform regular daily activities including working was 6 days (range 0-42 days) and the vast majority of patients (84%) did not require painkillers or only paracetamol. Twelve patients (4%) developed a postoperative wound infection. The mean satisfaction score was 9 (range 5-10).

conclusionsSiLaC® is a promising minimally invasive treatment for PD with high patient satisfaction and an acceptable success rate. These results suggest that SiLaC® could be used as a safe and effective primary treatment for PD.

Indexed as

Pilonidal SinusCohort StudiesHumansLasersNeoplasm Recurrence, LocalProspective StudiesRecurrenceRetrospective StudiesTreatment OutcomeMinimally invasive treatmentPilonidal diseaseSiLaC®

Identifiers

PMID34993686
OpenAlexW4205179397

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.