{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:21:25Z","timestamp":1778700085314,"version":"3.51.4"},"reference-count":18,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study aims to evaluate the efficacy and safety of a minimally invasive technique (pit excision with a punch biopsy needle) using a 1470 nm diode laser in the treatment of pilonidal sinus disease. Methods: A prospective study conducted included 187 patients who underwent laser treatment for pilonidal sinus. Patients were divided into two groups based on the severity of the disease: Group 1 (simple group) included patients who had no prior abscess formation and had one or two sinus openings, while Group 2 (complicated group) comprised patients with a history of abscess drainage and more two extensive sinus openings. The surgical procedure was performed under local anesthesia. The sinus openings were excised using a punch biopsy needle and subsequently closed with a diode laser probe. Patients were followed up at regular intervals during the postoperative period. Results: The findings revealed that the operative time (12.22 \u00b1 1.72 min), postoperative pain scores and wound-healing duration were significantly lower in the simple group compared to the complicated group (p &lt; 0.001). The recurrence rates were 3.7% in the simple group and 14.1% in the complicated group. The return-to-work time was 1.06 \u00b1 0.32 days in the simple group and 1.32 \u00b1 0.90 days in the complicated group. Conclusions: In conclusion, the combination of punch biopsy and diode laser is considered a safe and effective method, particularly for simple pilonidal sinus cases, due to its low complication rates, short recovery time, and early return-to-work advantages. However, more advanced treatment approaches are required for complicated cases.<\/jats:p>","DOI":"10.3390\/jcm14093052","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T11:48:33Z","timestamp":1745840913000},"page":"3052","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Efficacy of Punch Biopsy and Diode Laser Combination in the Treatment of Pilonidal Sinus: A Comparative Study Across Different Patient Groups"],"prefix":"10.3390","volume":"14","author":[{"given":"Suat","family":"Evirgen","sequence":"first","affiliation":[{"name":"Department of General Surgery, Medical Faculty, Amasya University, Amasya 05100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirin","family":"Cetin","sequence":"additional","affiliation":[{"name":"Department of Bioistatistical, Medical Faculty, Amasya University, Amasya 05100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"ref_1","first-page":"164","article-title":"Pilonidal sinus destruction with a radial laser probe: Technique and first Belgian experience","volume":"117","author":"Dessily","year":"2017","journal-title":"Acta Chir. 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