This study compares two treatment approaches for pilonidal sinus disease: laser treatment alone versus laser treatment combined with phenol application. Pilonidal sinus is a common condition that affects young adults and can cause significant discomfort and time off work.
Participants will be randomly assigned to receive either laser treatment only (Group A) or laser treatment plus phenol application (Group B). Both treatments are minimally invasive and performed under local anesthesia as day surgery procedures.
The main goal is to determine if adding phenol to laser treatment speeds up the healing process (epithelialization) and improves patient outcomes. We will measure healing time, pain levels, return to daily activities, and quality of life over a 3-month follow-up period.
This research may help develop more effective treatment protocols that reduce healing time and improve patient comfort for people with pilonidal sinus disease.
Age 18 years and older
Primary pilonidal sinus disease
Three or fewer pit counts
Willing to participate in the study and signed informed consent form
Age under 18 years
More than three pit counts
Acute abscess presentation
Bilateral lateral extension
Parallel
Laser Treatment
Procedure/SurgeryMinimally invasive laser ablation procedure performed under local anesthesia for pilonidal sinus treatment. Laser energy is delivered through a fiber optic probe inserted into the sinus tract to achieve thermal ablation of the sinus cavity.
Crystallized Phenol
Drugrystallized phenol is applied directly into the pilonidal sinus channels after cleaning and curettage. The phenol remains in contact for a specified duration before being neutralized with normal saline irrigation.
Time to Complete Epithelialization
Time required for complete epithelialization of the pilonidal sinus wound, assessed by clinical examination during follow-up visits. Complete epithelialization is defined as full closure of the wound with healthy epithelial tissue covering the entire treated area.
Postoperative Pain Scores
Pain intensity measured using Visual Analog Scale (VAS) ranging from 0 (no pain) to 10 (worst pain imaginable)
Return to Daily Activities Time
Time required for patients to return to normal daily activities and work, measured in days from surgery
Complication Rate
Incidence of post-operative complications including infection, wound dehiscence, bleeding, or other adverse events
Patient Satisfaction- VAS score Patient Satisfaction Patient Satisfaction
Patient satisfaction measured using Visual Analog Scale (VAS) ranging from 0 (completely dissatisfied) to 10 (completely satisfied), where higher scores indicate better satisfaction
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