Exploratory Study of Minimally Invasive Therapy: Laser Ablation Combined with ADM Implantation in Recurrent Sacrococcygeal Pilonidal Disease

Purpose: Recurrent sacrococcygeal pilonidal disease (SPD) presents considerable challenges in clinical management. In recent years, minimally invasive techniques, such as laser ablation, have emerged as promising alternatives for treatment. Furthermore, the application of acellular dermal matrix (ADM) has demonstrated potential benefits in wound healing and tissue regeneration. This clinical study aims to assess the efficacy and safety of the combined approach of laser ablation and ADM in the management of recurrent SPD. Basic procedures: We retrospectively analyzed the data of our five patients who diagnosed with recurrent SPD between October 2023 and April 2024. All patients underwent laser ablation in conjunction with ADM placement. We recorded clinical outcomes, including the healing rate and recurrence rate, as well as surgical data. Postoperative pain was assessed using the visual analog scale (VAS), and we documented the time taken for patients to return to their regular work and daily activities. Main findings: A total of five patients underwent laser ablation combined with ADM. Patients experienced minimal postoperative pain. All patients satisfied with this surgery. Conclusion: This pilot study suggests laser ablation with ADM may be a viable minimally invasive option for recurrent SPD, showing favorable outcomes. Larger comparative studies are needed to validate these findings.