Laser treatment of pilonidal disease: a systematic review
Autor: | Tomislav Bruketa, Trpimir Moric, Branko Bogdanić, Ivan Romic, Goran Augustin |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Pilonidal disease business.industry Lasers Laser treatment Operative Time Dermatology Perioperative law.invention Surgery Pilonidal Sinus Treatment Outcome Randomized controlled trial Outcome reporting law medicine Humans Operative time Complication rate Prospective Studies Primary healing business |
Zdroj: | Lasers in Medical Science. 37:723-732 |
ISSN: | 1435-604X 0268-8921 |
Popis: | Pilonidal disease (PD) is a common condition, and there is still an ongoing debate on ideal management that should be minimally invasive, safe, and efficient. The use of radially emitting laser in the treatment of chronic PD is a novel minimally invasive technique, and initial studies with a small number of patients showed promising results. This study aimed to assess the efficacy and safety of chronic PD treatment with a laser using a systematic review of the published literature. A systematic review was conducted after PubMed, Scopus, Embase, Web of Science, and the Cochrane database search for studies reporting laser treatment of chronic PD. Also, our unpublished prospective single-center study was included in this review. Ten of 87 studies were eligible for the review, including 971 patients. The median age of the patients was 26 (range 13–68), and the median operative time was 26 (range 6–65) min. With a median follow-up of 12 (range 7–25) months, 917 (94.4%) patients achieved primary healing with a weighted mean recurrence rate of 3.8%. The weighted mean complication rate was 10% (95% CI 5.7–14.3%, I2 = 82.28, p |
Databáze: | OpenAIRE |
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