Evidence map›Paper›PMID 39174833›Full record

ArticleLangenbeck's archives of surgery2024

Long-term follow-up of pilonidal sinus disease treated by radial laser surgery.

Koskinen Karita, Lindström Adalia, Poussa Tuija, Harju Jukka, Hermunen Kethe

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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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

5 authors.

Koskinen KaritaFaculty of Medicine, University of Helsinki, Helsinki, Finland. karita.koskinen@helsinki.fi.
Lindström AdaliaFaculty of Medicine, University of Helsinki, Helsinki, Finland.
Poussa TuijaSTAT-Consulting, Nokia, Finland.
Harju Jukka *Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Hermunen Kethe *Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaser ablation is one of the newest and most advanced minimally invasive techniques in treating pilonidal sinus disease (PSD). Most studies on the subject have small sample sizes and relatively short follow-up times, making evaluation of long-term healing rates and recurrences difficult. Furthermore, long-term results for laser surgery of PSD are still lacking. The aim of this study was to retrospectively report long-term follow-up results for PSD treatment by radial laser surgery.

methodsWe retrospectively studied the medical records of 83 patients who underwent the radial laser procedure for PSD between January 2017 and September 2019. Our follow-up time was a median of 5.2 years, range 1.5 to 7.4 years.

resultsTwelve patients had a PSD recurrence after their laser procedure, which gives a recurrence rate of 14.5% (95% CI 8.2%-23.2%). These recurrences appeared at a median 12.2 months after the laser procedure, range 4.2 to 51 months. A total of 23 patients (27.7%; 95% CI 19.0-38.0) underwent a reoperation, 11 patients due to postoperative infection or prolonged recovery and 12 patients due to PSD recurrence. Recurrent PSD and spillage of pus during operation were statistically significantly associated with the need for a second operation.

conclusionRadial laser surgery provides a minimally invasive treatment option with an acceptable recurrence rate in long-term follow-up.

Indexed as

Laser TherapyPilonidal SinusRecurrenceAdolescentAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedReoperationRetrospective StudiesTime FactorsTreatment OutcomeYoung AdultLaser surgeryLong-term follow-upLong-term resultsPilonidal diseasePilonidal sinus diseaseSinus pilonidalis

Identifiers

PMID39174833
PMCPMC11341738

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Registered trials

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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.