The outcomes of Laser versus Limberg flap for sacrococcygeal pilonidal sinus, meta-analysis study

Abstract Background The introduction of laser treatment for sacrococcygeal pilonidal sinus has sparked debate about the most effective management approach. This study aims to summarize current evidence comparing the laser and Limberg flap techniques for treating this condition. Methods Databases including PubMed, Elsevier, Scopus, CINAHL, Google, and Springer were searched for studies comparing laser treatment to Limberg flap up to May 2025. PRISMA protocol was used .Data were collected for recurrence, operative time, infection, post-operative pain, healing, and the need for reoperation. JASP software and Meta-analysis online.com were used for statistical analysis. Missing data were addressed using imputation techniques. A p-value < 0.05 was considered statistically significant. Results Laser treatment was associated with significantly shorter operative times and less post-operative pain (p < 0.0001 for both). No significant differences were observed between laser and Limberg flap in recurrence, infection, healing time, or the need for additional operations (p value = 0.90, 0.26, 0.43, 0.17, respectively). Conclusion Laser application results in shorter operative times and reduced post-operative pain but shows no significant differences from the Limberg flap in recurrence, infection, healing, or need for further surgery.