Evidence map›Paper›PMID 40769774›Full record

ArticleWorld journal of surgery2025

Minimal Invasive Surgical Treatment in Primary Sacrococcygeal Pilonidal Sinus Disease: Phenolization of the Sinus Tract Versus Sinus Laser Assisted Closure; Long-Term Follow-Up of a Comparative Cohort Study.

Jochem de Kort, Laurens V van Kempen, Ruben Schouten, Menno R Vriens, Niels Smakman, Edgar J B Furnee

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Observational
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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

6 authors.

Jochem de KortDepartment of Surgery, Diakonessenhuis, Utrecht, the Netherlands.ORCID https://orcid.org/0009-0005-3170-1285
Laurens V van KempenDepartment of Surgery, Flevoziekenhuis, Almere, the Netherlands.
Ruben SchoutenDepartment of Surgery, Flevoziekenhuis, Almere, the Netherlands.
Menno R VriensDepartment of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Niels SmakmanDepartment of Surgery, Diakonessenhuis, Utrecht, the Netherlands.
Edgar J B FurneeDepartment of Abdominal Surgery, University Medical Center Groningen, Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo consensus has been reached on the preferred minimally invasive technique for treating primary, chronic sacrococcygeal pilonidal sinus disease. This study will compare two extensively used minimally invasive techniques: phenolization of the sinus tract and sinus laser-assisted closure.

methodsA comparative cohort study was conducted in two hospitals. Patients were matched on sex, age, number of sinus pits at surgery, and duration of follow-up. Patient records were examined for additional surgeries, and quality of life and symptoms were assessed with a questionnaire.

resultsAfter a mean follow-up of 47 months, seven patients (19.4%) in the phenolization group (n = 36) required additional surgery and 11 patients (30.6%) in the SiLaC group (n = 36) underwent additional surgery. Pain as a symptom at the natal cleft was significantly lower in the phenolization group, though not clinically relevant. The question regarding general health compared to preoperatively was reported to be significantly better in the phenolization group. However, other quality of life outcomes, such as the VAS score and the SF-36, did not differ significantly between phenolization and SiLaC.

conclusionBoth phenolization and sinus laser-assisted closure appear to be feasible for patients with primary SPSD, with no clear superiority of either technique.

Indexed as

Laser TherapyPhenolPilonidal SinusAdolescentAdultCohort StudiesFemaleFollow-Up StudiesHumansMaleMinimally Invasive Surgical ProceduresQuality of LifeRetrospective StudiesSacrococcygeal RegionTreatment OutcomeYoung AdultPhenolcolorectal diseaselaser treatmentphenolizationsacrococcygeal pilonidal sinus disease

Identifiers

PMID40769774
PMCPMC12435601

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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.