Acta clinica Croatica, Vol. 64. No. 1, 2025.
Stručni rad
https://doi.org/10.20471/acc.2025.64.01.17
Laser Surgery for Pilonidal Disease – A Novel Minimally Invasive Procedure
Tihomir Grgić
; Sveti Duh University Hospital, University of Zagreb, School of Medicine, Zagreb, Croatia; St. Catherine Specialty Hospital, Zagreb, Croatia
*
Dora Grgić
; Zagreb University Hospital Center, University of Zagreb, School of Medicine, Zagreb, Croatia
Mirna Žulec
; Marija Polyclinic, Zagreb, Croatia
Fran Rašić
; University of Zagreb, School of Medicine, Zagreb, Croatia
Zvonimir Zadro
; Sveti Duh University Hospital, University of Zagreb, School of Medicine, Zagreb, Croatia
Karlo Golubić
; Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Kristina Šemanjski
; Sveti Duh University Hospital, University of Zagreb, School of Medicine, Zagreb, Croatia
* Dopisni autor.
Sažetak
Pilonidal disease (PD) is a common inflammatory disease of the gluteal region with
an incidence of 26/100000 and usually occurs in young males (15-30 years old). The etiology of pilonidal
disease is unclear, but literature describes a wide range of factors such as keratin plugs, foreign substance
reaction related to hairs, as well as dermatopathy and debris in hair follicles in the natal cleft. PD and also
its classic treatment can cause discomfort and very much deteriorate the patient’s quality of life. There
are many possibilities (conservative or surgical) in the treatment of pilonidal disease, but there is no gold
standard. In the acute phase (abscess), surgical incision with pus evacuation and antibiotic therapy is
enough. In the chronic phase, there are many possibilities like phenol treatment, surgical excision with
lay open and secondary wound healing. There are many reconstructive techniques such as Karydakis, V-Y
flap or Limberg flap. A recently minimally invasive technique such as endoscopic surgical procedure or
filling pilonidal tract with fibrin glue or phenol have been introduced. We present our experience with
laser treatment (Biolitec, Germany) of pilonidal sinus disease.
Ključne riječi
Pilonidal sinus; Laser surgery; Surgical flap; Endoscopic surgical procedure
Hrčak ID:
335778
URI
Datum izdavanja:
31.3.2025.
Posjeta: 836 *