Control of hair growth using long-pulsed alexandrite laser is an efficient and cost effective therapy for patients suffering from recurrent pilonidal disease

Muhammad Adil Abbas Khan, Ammar Asrar Javed (Lead / Corresponding author), Karthikeyan Srinivasan Govindan, Sadia Rafiq, Kay Thomas, Lynne Baker, John Kenealy

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)

    Abstract

    Pilonidal sinus (PNS) and its surgical management have a profound impact on hospital resources in terms of finances and productive man-hours. Surgical treatment has been the mainstay of treatment of both acute and chronic pilonidal sinus but recurrence is common. The control of hair growth in the sinus region plays an important role in preventing recurrence. Here, we discuss our experience of treating 19 patients suffering from recurrent pilonidal sinus with laser depilation and its long-term cost effectiveness. This is a retrospective study on patients who had recurrence of pilonidal sinus following multiple surgical treatments. They were treated using long-pulsed alexandrite laser for depilation in the sinus area, an outpatient procedure. Their clinical characteristics and outcomes were then evaluated. There was a significant reduction in hair density after laser treatment (p < 0.001). The disease-free period after laser treatment was significantly longer than that one after surgical treatment (p < 0.001). The average cost of repeated surgical treatment per disease-free month was significantly higher than that of laser treatment (p < 0.001). Evidence suggests the role of natal cleft hair growth in the evolution of the pilonidal disease; therefore, control of hair growth should be considered as an adjunct to the initial treatment via surgery. Compared to surgical treatment of recurrences, laser depilation is an efficient and cost-effective method of preventing recurrence and reducing morbidity and loss of man-hours. We suggest that laser depilation of the pilonidal sinus should be funded by clinical commissioning groups.

    Original languageEnglish
    Pages (from-to)857-862
    Number of pages6
    JournalLasers in Medical Science
    Volume31
    Issue number5
    Early online date22 Mar 2016
    DOIs
    Publication statusPublished - Jul 2016

    Keywords

    • Pilonidal sinus
    • Recurrent pilonidal sinus
    • Laser treatment
    • Laser depilation
    • Cost reduction

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