Minimally Invasive Surgery for Pilonidal Abscess Under Laparoscopic Guidance: A Retrospective Study

Objective To evaluate the efficacy of minimally invasive surgery for pilonidal abscess under laparoscopic guidance. Methods A retrospective, non-randomized controlled trial was conducted on 14 patients with pilonidal abscess at a tertiary hospital. The primary endpoints included healing status and healing time, while secondary endpoints encompassed postoperative pain levels and quality of life. Results Postoperative pain scores averaged 1.64 ± 0.64 (VAS), with a hospital stay of 9.57 ± 2.98 days and a healing time of 23.00 ± 5.96 days. All cases achieved primary healing. Postoperative complications included subcutaneous fluid accumulation and infection in 3 patients, with 1 recurrence observed during the 12-month follow-up. Conclusions 1. Laparoscopic-guided minimally invasive surgery for pilonidal abscess is associated with reduced postoperative pain, shorter healing time, simplified wound management, and improved quality of life, demonstrating a safe and effective approach. 2. Surgical intervention during the acute phase of pilonidal abscess infection facilitates primary healing.