{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:20:22Z","timestamp":1787228422370,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pilonidal sinus (PS) predominantly impacts adolescent and young adult males. This condition may be asymptomatically or escalate to painful acute abscesses and recurrent discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the early postoperative outcomes of laser therapy compared to the lay\u2010open technique in the treatment of chronic pilonidal sinus disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective randomized comparative study including 40 patients, divided into two equal groups: (a) The SiLaT group: PS treated with diode laser therapy (SiLaT) and (b) the lay\u2010open group: PS treated with lay\u2010open (sinotomy). Postoperative outcomes such as operative time, hospital stay, pain scores, healing time, complications, and recurrence rates were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Operative time was significantly shorter in the SiLaT group (18.4\u2009\u00b1\u20092.1\u2009min vs. 26.2\u2009\u00b1\u20093.7\u2009min, <jats:italic>p<\/jats:italic>\u2009=\u20090.022). Hospital stay was shorter in the SiLaT group (6.60\u2009\u00b1\u20091.47\u2009h vs. 15.10\u2009\u00b1\u20095.52\u2009h, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Pain scores were lower in the SiLaT group (2.30\u2009\u00b1\u20090.92 vs. 4.80\u2009\u00b1\u20091.01, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Wound healing was significantly faster in the SiLaT group (10.1\u2009\u00b1\u20092.7 days vs. 34.1\u2009\u00b1\u200915.1 days, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). Recurrence rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.998) and surgical site infection (<jats:italic>p<\/jats:italic>\u2009=\u20091.00) were comparable among both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sinus laser therapy (SiLaT) demonstrated superior early outcomes, including faster recovery, reduced pain, and fewer complications with earlier resumption of daily activities compared to the lay\u2010open technique. However, recurrence rates remain similar, necessitating long\u2010term studies to evaluate its effectiveness as a first\u2010line treatment. These findings support the use of SiLaT as a day\u2010case surgical procedure, for treating simple PS disease, particularly in young active patients seeking rapid recovery with minimal morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.70008","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T04:58:41Z","timestamp":1742446721000},"page":"321-328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Comparitive Study Between Early Outcomes of Laser and Lay\u2010Open Technique in Management of Simple Pilonidal Sinus"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4951-016X","authenticated-orcid":false,"given":"Mostafa Seif","family":"El Deen","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef Mohamed","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdy Akel","family":"Sorour","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4341-5241","authenticated-orcid":false,"given":"Hany","family":"El Hadad","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1920-6810","authenticated-orcid":false,"given":"Mohamed","family":"Wael","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2016.1272285"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"12","article-title":"The Management of Pilonidal Sinus","volume":"116","author":"Iesalnieks I.","year":"2019","journal-title":"Deutsches \u00c4rzteblatt international"},{"issue":"9","key":"e_1_2_11_4_1","article-title":"Outcomes of Sinus Laser Therapy in Sacrococcygeal Pilonidal Sinus Disease: A Single\u2010Center Experience","volume":"14","author":"Zubaidi A. 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