Document Detail


Successful treatment of pilonidal disease by intense pulsed light device.
MedLine Citation:
PMID:  24913119     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Pilonidal disease is foreign body reactions accompanied by chronic inflammation that most commonly arises in the hair follicles of the natal cleft or other hair-bearing areas. Today, surgical intervention remains the treatment of choice. But surgical treatment is an invasive method with a high failure rate and recurrence.
OBJECTIVES: The authors' objective was to assess the efficacy of intense pulsed light (IPL) device on pilonidal disease.
MATERIAL AND METHODS: This case series study was carried out between 2008 and 2012 on patients with pilonidal sinus in Qazvin university of Iran. All patients received 6 session treatments with IPL hair removal with 4-6 weeks interval until most of the hair was removed. This was repeated 2.5 ± 0.3 years after treatment. In cases with acute phase pilonidal sinus histopathological examination was done.
RESULTS: IPL hair removal procedure was performed on 30 patients with their ages ranging from 16 to 41 years, with a mean (SD) of 23.1 (6.2) years. In this study 13 patients were presented with acute and 6 patients were presented with chronic phase. 11 patients had a positive history of one surgical treatment and presented recurrences. The overall recurrence rate after IPL treatment in this study was seen in 4 (13.3%) patients. The histopathological examination of our study showed that the hair fragments create a foreign body type granulomatous inflammatory reaction. This process could be triggering factor of the disease.
CONCLUSIONS: IPL hair removal in affected area could be an alternative treatment to surgery or a choice treatment post surgery to decrease recurrence rate.
Authors:
Younes Shafigh; Akram Beheshti; Malihe Charkhchian; Fatemeh Samiee Rad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in clinical and experimental medicine : official organ Wroclaw Medical University     Volume:  23     ISSN:  1899-5276     ISO Abbreviation:  Adv Clin Exp Med     Publication Date:    2014 Mar-Apr
Date Detail:
Created Date:  2014-06-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101138582     Medline TA:  Adv Clin Exp Med     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  277-82     Citation Subset:  IM    
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