International Society of Laser Proctology Position Paper on SiLaC and EPSiT/SiLaC in the Management of Pilonidal Sinus Disease

Objectives Minimally invasive treatment of pilonidal sinus disease (PSD) via sinus tract laser closure (SiLaC) and endoscopic pilonidal sinus treatment (EPSiT) is being increasingly employed to manage PSD. Despite its wide adoption amongst colorectal surgeons in many nations, there still exists a wide heterogeneity in surgical technique. The International Society of Laser Proctology (ISoLP) was created by experts in laser proctology has the goal of improving laser‐based interventions in coloproctology with the aim of improving patient care in this specialized area. Methods This position paper is based on the limited evidence from available literature and largely on the expert opinion of ISoLP members with extended expertise in SiLaC and EPSiT. Results ISoLP experts in SiLaC and EPSiT procedures have suggested 10 statements to aid in homogenizing the SiLaC procedure alone and in combination with EPSiT, with the goal of improving treatment outcomes. Conclusion The 10 ISoLP position statements have a potential of shaping and homogenizing laser‐assisted management of PSD.