Minimally invasive treatment of pilonidal sinus using the new Infinite Ring Fiber. A case series

AIM: In this study, we present a small series of patients with pilonidal cyst, which were treated with NeoV1470 Laser System using Infinite Ring Fiber 600 microns (Mm) (NeoLaser, Caesarea, Israel) (Infinite Ring Fiber -IRF). This fiber is characterized by circular 360-degree heat release, an active 4 mm tip with 1470nm emission and up to now it has been used only for vessel surgery. We are investigating its use in the treatment of pilonidal cyst.MATERIAL AND METHODS: It is a case series study (December 2020 - December 2021) consisting of 13 patients. The choice criterion for the study was that the patient should have at least one fistula opening with maximum size of orifice < 5mm. All patients were treated as day clinic. Surgery was performed with intravenous sedation and local anesthesia using lidocaine. The pulse regime we use was (8w, 3sec, 24 J/per pulse).RESULTS: All the patients had successful treatment. None of the patients treated with the particular fiber had any complications or relapsed disease during the follow up period.DISCUSSION: In the international literature have been described various therapeutic options of pilonidal cyst therapy. The use of use of IRF is another one.CONCLUSIONS: The use of NeoV1470 laser system with IRF at pilonidal cyst therapy appears to be a safe and effective with less and necrotic detriments.