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. 2012 Oct-Dec;97(4):288-92.
doi: 10.9738/CC130.1.

Minimally invasive treatment of pilonidal disease: crystallized phenol and laser depilation

Mustafa Girgin  1 , Burhan Hakan Kanat, Refik Ayten, Ziya Cetinkaya, Zekiye Kanat, Ahmet Bozdağ, Ahmet Turkoglu, Yavuz Selim Ilhan
Affiliations

Minimally invasive treatment of pilonidal disease: crystallized phenol and laser depilation

Mustafa Girgin et al. Int Surg. 2012 Oct-Dec.

Abstract

Pilonidal disease has been treated surgically and by various other methods for many years. The most important problem associated with such treatment is recurrence, but cosmetic outcome is another important issue that cannot be ignored. Today, crystallized phenol is recognized as a treatment option associated with good medical and cosmetic outcomes. We hypothesized that the addition of laser depilation to crystallized phenol treatment of pilonidal disease might increase the rate of success, and this study aimed to determine if the hypothesis was true. Patients who were treated with crystallized phenol and 755-nm alexandrite laser depilation were retrospectively analyzed. In total, 42 (31 male and 11 female) patients were treated with crystallized phenol and alexandrite laser depilation and were followed up between January 2009 and January 2012. In all, 38 patients (90.5%) had chronic disease and 4 (9.5%) had recurrent disease. Among the patients, 26 (61.9%) recovered following 1 crystallized phenol treatment, and the remaining patients had complete remission following repeated treatment. Some patients needed multiple treatments, even up to 8 times. None of the patients had a recurrence during a mean 24 months (range, 6-30 months) of follow-up. Whatever method of treatment is used for pilonidal disease, hair cleaning positively affects treatment outcome. The present results support the hypothesis that the addition of laser depilation (which provides more permanent and effective depilation than other methods) to crystallized phenol treatment (a non-radical, minimally invasive method associated with very good cosmetic results) can increase the effectiveness of the treatment and also reduce the recurrence rate of the disease.

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Figures

<b>Fig 1</b>
Fig 1
A patient that applied crystallized phenol two times and laser depilation five times.
<b>Fig 2</b>
Fig 2
A patient that had 3 orifices, 2 sinuses recovered after only a one-time phenol cure.
See this image and copyright information in PMC

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