Pilonidal Sinus Laser Surgery - Treatment Procedure, Recovery

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Laser Treatment for Pilonidal Sinus

Treatment Duration

30 Minutes

To

45 Minutes

Treatment Cost

Rs 40000

To

Rs 90000

Laser Surgery for Pilonidal Sinus is an advanced method for treating pilonidal sinus. In this procedure, a laser beam is used to remove debris and pus from the pilonidal sinus. This procedure is also known as Laser Pilonidoplasty.

Laser surgery for pilonidal sinus is a daycare procedure. The procedure usually takes 30 to 45 minutes to complete. This procedure includes several advantages, such as less pain, fewer complications, reduced tissue trauma, and fast recovery. 

Surgery Name Laser Surgery for Pilonidal Sinus
Alternative Name Laser Pilonidoplasty
Diseases Treated Acute and chronic pilonidal sinus
Benefits of the Surgery Less pain, No cuts or incisions, Fewer complications, Fast recovery
Treated by General surgeon or Dermatologist

What is Laser Pilonidal Sinus Surgery?

Laser Pilonidal Sinus Surgery is an advanced method for treating pilonidal sinus. Pilonidal sinus is a chronic inflammatory condition that is present at the top of the buttock in line with the buttock cleft. A laser beam is used to remove debris and pus from the pilonidal sinus. 

Anatomy and Physiology of the Skin

The skin is the largest external and primary protective organ of the body. It is made up of three layers of tissues. The upper layer is the epidermis, the layer below the epidermis is the dermis, and the third layer is the subcutaneous tissue.

  1. The epidermis provides a waterproof barrier and contributes to the tone of the skin.
  2. The dermis contains connective tissue, hair follicles, blood vessels, lymphatic vessels, and sweat glands.
  3. The subcutaneous tissue (hypodermis) is made of fat and connective tissue.

The skin covers the entire external surface and serves as a first-order physical barrier against the environment. Its function includes:

  1. Protection against microorganisms, dehydration, ultraviolet light, and mechanical damage.
  2. Sensation of pain, temperature, touch, and deep pressure starts with the skin.
  3. Mobility: The skin allows smooth movement of the body.
  4. Endocrine activity: The skin initiates the biochemical processes involved in Vitamin D production, which is essential for calcium absorption and normal bone metabolism.
  5. Exocrine activity: The skin secretes products that can harm the body such as urea and ammonia. 
  6. Immunity development against pathogens.
  7. Regulation of Temperature: Skin participates in thermal regulation by conserving or releasing heat and helps maintain the body’s water and homeostatic balance.

Conditions treated with Laser Pilonidal Sinus Surgery

Generally, laser pilonidal sinus surgery is done to treat acute and chronic pilonidal sinus.

Who needs Laser Pilonidal Sinus Surgery?

The doctor advises laser pilonidal sinus surgery when the pilonidal sinus is recurrent and infected. The doctor may also recommend this surgery when the non-invasive methods cannot provide relief to the patient. The general symptoms of pilonidal sinus include:

  1. Depression on the skin
  2. Cyst or abscess formation 
  3. Blood or pus draining from the abscess 
  4. Red or sore skin surrounding the area 
  5. Pain and discomfort while standing or sitting

How is Laser Pilonidal Sinus Surgery performed?

Laser pilonidal sinus surgery is a minimally invasive procedure that usually takes 30 to 45 minutes to complete, depending upon the patient’s age, other medical conditions of the patient and severity of the case. The procedure is performed under local anaesthesia to keep the patient comfortable. A trained General Surgeon or a Dermatologist along with other professional staff may perform the laser pilonidal sinus surgery through the following steps:

  1. The surgeon will advise the patient to be in a jack-knife position. In this position, the patient lies on the abdomen, and the head and feet of the patient are at a lower level with the middle portion above the level. This position allows the surgeon to clearly visualise the pilonidal sinus cyst and assist in proper surgery.
  2. The anesthesiologist will administer local anaesthesia to prevent any discomfort during the surgery. 
  3. The surgeon will make a criss-cross incision on the abscess to remove the damaged tissue completely. Following this, the surgeon identifies the connection of the abscess with the sinus.
  4. The surgeon scoops the sinus tract as much as possible.
  5. The surgeon will then use the radial fibre to remove the damaged tissues from the sinus tract and the abscess wall.
  6. The surgeon will then initially deliver the diode laser (8W with 1470 nm) and withdraw the fibre by one centimetre. The surgeon will again deliver the laser until the damaged tissue is removed from the entire length of the sinus tract.
  7. After the laser procedure, the surgeon will squeeze the tract to drain out the fluid. The flushing will be done through normal saline and hydrogen peroxide.
  8. Fibre will then be used to seal the complete sinus tract.
  9. There will be no dressing on the wound, which is kept open for drainage. The surgeon may also prefer closed healing.
  10. If the surgeon wishes to have open healing, he/she may ask the patient to use sanitary pads to absorb the drainage.

What to expect before and on the day of Laser Pilonidal Sinus Surgery?

The patient may expect the following before or on the day of the surgery.

Before Laser Pilonidal Sinus Surgery

A patient may expect the following before the surgery:

  1. The surgeon will comprehensively evaluate the lower back, starting from the anal verge to the mid-back. It is to check for all abscesses, pits and cavities. Missing even a single hole or cavity is one of the most common causes of pilonidal sinus recurrence.
  2. The surgeon will also recommend some blood tests to look for any infections or allergies.
  3. The surgeon will also advise the patient to undergo a pre-anaesthesia check-up. Based on the check-up report, the hospital will confirm the surgery date.
  4. The surgeon/doctor will make a file and record vital information related to the surgery. It includes medical history, family history, any specific condition that may alter the outcome of surgery, and allergy to any medications.
  5. The doctor may advise the patient to stop medicines that have the potential to cause bleeding, such as aspirin and NSAIDs.
  6. The patient may be advised to stop eating or drinking at least one night before the surgery.
  7. The doctor will explain the detailed surgery procedures, duration of the surgery and hospital stay, and how to prepare for the surgery.

On the day of the Laser Pilonidal Sinus Surgery

The patient may expect the following on the day of surgery:

  1. The patient must reach the hospital before the scheduled time to avoid the last-minute hustle. In addition, it will help the patient to relax before the surgery.
  2. The patient will be asked to sign a consent form before the surgery.
  3. The staff will instruct the patient to remove jewellery, dentures, and contact lenses before the surgery.
  4. The staff will ask the patient to change their clothes and wear gowns.
  5. The staff will shave the buttocks area of the patient to make the sinus clearly visible.
  6. The patient will be evaluated by clinical examination. It includes a digital rectal examination, Blood tests (CBC), blood urea/sugar, complete blood chemistry, and coagulation profile.
  7. The staff or the surgeon will insert an IV line. It will be used to administer fluid and drugs that may be required during the procedure.
  8. The patient will then be shifted to the operating room.

What to expect after Laser Pilonidal Sinus Surgery?

A patient who has undergone laser pilonidal sinus surgery can expect the following after the surgery:

The recovery process in the hospital

  1. Post-surgery, the patient will be moved to the hospital ward so that he/she can recover.
  2. The patient will be kept in observation until the after-effect of anaesthesia wears off.
  3. The surgeon will prescribe antibiotics to prevent infection and analgesics to avoid pain and discomfort.
  4. Once the patient's condition stabilises, the patient will be discharged after providing detailed information about the home care, scheduled medicines, and initiation of activities.
  5. Most patients are discharged from the hospital on the day of the surgery. However, the patient may need to stay at the hospital for 2 to 3 days in some cases. The average time of stay at the hospital after surgery is around 12 hours.

Recovery process/expectation after hospital discharge

  1. Instructions provided by the doctor must follow at home.
  2. The patient may feel pain for several days. The doctor may prescribe medications for pain management and relief.
  3. The patient must avoid strenuous exercises and activities for about two weeks after surgery.
  4. The patient must:
    1. Get enough sleep and rest when he/she feels tired.
    2. Avoid sitting on hard surfaces for long periods until the incision has completely healed.
    3. Drink plenty of fluids and try bland, low-fat foods like plain rice, broiled chicken and yoghurt.
    4. Keep the surgical area clean by washing it with warm soapy water.
    5. Avoid constipation and straining with bowel movements
    6. Avoid fried and spicy foods, alcohol and smoking.
    7. Stop swimming or soaking baths for about 2 to 3 weeks after the surgery.
    8. Avoid sexual intercourse until the cyst is completely recovered.

First follow-up appointment

  1. The first follow-up appointment post-surgery will be scheduled within 4 to 6 days after the surgery.
  2. During the follow-up visit, the doctor will view the surgical site and develop a strategy to manage complications.
  3. The doctor may also squeeze the cyst to drain the excess fluid during follow-up.
  4. The doctor might also change the medication or advise the patient to continue with the previous medication for some more time, depending on the condition and recovery of the surgical area.
  5. The patient will also be informed regarding future visits to examine if the implant is in place and functioning properly.

Benefits of Laser Pilonidal Sinus Surgery

Laser pilonidal sinus surgery is an advanced method to treat pilonidal sinus. This treatment method has several benefits which help improve the quality of life of an individual. The benefits of laser pilonidal sinus surgery include:

  1. No pain
  2. No cuts and stitches
  3. No bleeding
  4. Quick recovery
  5. Go home the same day
  6. No recurrence of cysts
  7. Low chance of infection

Risks and complications of Laser Pilonidal Sinus Surgery

Laser pilonidal sinus surgery is minimally invasive and has a quick recovery rate. However, as with any surgical procedure, there are some risks associated with the surgery that a patient may experience while undergoing the procedure. Some of the risks and complications associated with laser pilonidal sinus surgery are:

  1. Pain and swelling at the site of surgery
  2. Fever and other signs of infection, such as chills
  3. Failed or delayed wound healing
  4. Recurrence of pilonidal sinus

When is consultation with the doctor needed?

The patient must consult the doctor when he/she experiences:

  1. Pain
  2. Swelling or inflammation
  3. Infection in the surgical area
  4. Bleeding
  5. Pus discharge from the surgical site

Risks of delayed Laser Pilonidal Sinus Surgery

If the pilonidal sinus is not treated in time, it can be uncomfortable and may affect daily activities. Risks of delayed laser pilonidal sinus surgery may include:

  1. Acute pilonidal cyst
  2. Chronic pilonidal cyst
  3. Systemic infection
  4. Cancer formation

Cost of Laser Pilonidal Sinus Surgery

The cost of laser pilonidal sinus surgery ranges from ₹40,000 to ₹90,000. The cost varies based on the following factors:

  1. Patient’s age
  2. Other medical conditions that the patient may have
  3. The severity of the pilonidal sinus
  4. Technique and equipment used
  5. The type of hospital facility availed - individual room or shared
Procedure Name Cost Value
Laser Surgery for Pilonidal Sinus ₹40,000 to ₹90,000

Frequently Asked Questions on Laser Treatment for Pilonidal Sinus

What are the myths versus facts about laser pilonidal sinus surgery?

  1. Myth: The laser pilonidal sinus surgery causes pain and bleeding.
    Fact: No, laser pilonidal sinus surgery neither causes pain nor bleeding as this procedure is minimally invasive surgery with several benefits such as less pain, fewer complications, reduced tissue trauma, and fast recovery. 
  2. Myth: After the laser pilonidal sinus surgery, it takes more time to recover.
    Fact: No, the recovery rate is really quick. The recovery time after the treatment is 24 to 48 hours which means laser pilonidal sinus surgery allows you to return to your normal lifestyle soon.
  3. Myth: Laser pilonidal sinus surgery is often heavily expensive.
    Fact: No, laser pilonidal sinus surgery is affordable and cost-effective as the patients do not need to get hospitalized for laser treatment.

What is laser pilonidal sinus surgery?

Laser pilonidal sinus surgery is an advanced method for treating pilonidal sinus. A laser beam is used to remove debris and pus from the pilonidal cysts.

What is the approximate duration of laser pilonidal sinus surgery?

In most cases, laser pilonidal sinus surgery takes about 30 to 45 minutes to complete depending upon various factors such as the patient's age, comorbidities of the patient, and severity of the pilonidal sinus.

Who performs laser pilonidal sinus surgery?

A general surgeon or a dermatologist along with other professional medical staff perform the laser pilonidal sinus surgery.

What are the risks associated with laser pilonidal sinus surgery?

As with any surgery, laser pilonidal sinus surgery also involves some risks such as:

  1. Pain and swelling at the site of surgery
  2. Fever and other signs of infection, such as chills
  3. Failed or delayed wound healing
  4. Recurrence of pilonidal sinus

What are the advantages of laser pilonidal sinus surgery?

Laser pilonidal sinus surgery is an advanced method to treat pilonidal sinus. This treatment method has several benefits such as:

  1. No pain
  2. No cuts and stitches
  3. No bleeding
  4. Quick recovery
  5. No recurrence of cysts
  6. Low chance of infection

Is laser surgery good for pilonidal sinus?

The destruction of pilonidal cysts or sinus with a laser probe is a safe, simple and minimally invasive technique. The success rate is good.

Is laser pilonidal sinus surgery painful?

Generally, laser surgery is a quick and painless procedure for pilonidal sinus. Also, the procedure is performed under local anaesthesia, thus the patient would not feel any pain during the surgery.

What is the success rate of the laser pilonidal sinus surgery?

As per the medical evidence, the success rate of laser pilonidal sinus surgery is about 87.5%. 

Do I have to stay in the hospital after the laser pilonidal sinus surgery?

Laser pilonidal sinus surgery is non-invasive and does not require intense patient monitoring post-operation. The patient need not be hospitalised and can go home the same day.

Do pilonidal cysts recure after laser pilonidal sinus surgery?

Usually, laser surgery cures pilonidal sinus. The chances of reoccurrence are dependent upon how a patient takes care post-surgery. If a patient follows the doctor’s instructions, then the chances of recurrence would be no to minimal. 

What is the fastest way to recover from laser pilonidal sinus surgery?

A patient must drink plenty of fluids and eat low-fat foods like plain rice, yoghurts, and boil vegetables. The patient must clean the surgical area by washing it with warm soapy water. He/she must also avoid fried and spicy foods, alcohol and smoking.

What will happen if pilonidal sinus if left untreated?

Leaving pilonidal sinus untreated for a long period can aggravate the complications. The patient may suffer from multiple cysts or skin cell carcinoma or skin cancer.

What is the cost of laser pilonidal sinus surgery?

The cost of laser pilonidal sinus surgery starts from ₹40,000 and can go up to ₹90,000.

Why does the cost of laser pilonidal sinus surgery vary for different patients?

The cost of laser pilonidal sinus surgery differs due to several factors including hospital choice, the severity of the pilonidal sinus, surgical technique, and overall health condition of the patient. Contact HexaHealth care specialist to get cost-effective treatment.

Does insurance cover laser pilonidal sinus surgery?

Yes, all health insurance plans cover laser pilonidal sinus surgery. Paperwork is facilitated by our team on your behalf ensuring smooth approval and a cashless facility. Contact HexaHealth for a simple cashless and hassle-free experience.

More Treatment options

Expert Doctors for Laser Treatment for Pilonidal Sinus

Dr. Atul N.C. Peters

Dr. Atul N.C. Peters

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26 years experience
98% Recommended
Dr. Atul Wadhwa

Dr. Atul Wadhwa

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Dr. Yogesh Gautam

Dr. Yogesh Gautam

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Dr. S K Tiwari

Dr. S K Tiwari

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Dr. Darpreet Singh Bhamrah

Dr. Darpreet Singh Bhamrah

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Dr. V K Jain

Dr. V K Jain

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Dr. Sandeep Kumar Jain

Dr. Sandeep Kumar Jain

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Dr. P K Dewan

Dr. P K Dewan

Laparoscopic / Minimal Access Surgery, Bariatric Surgery / Metabolic, Metabolic And Bariatric Surgery
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Dr. Vivek Bindal

Dr. Vivek Bindal

Laparoscopic / Minimal Access Surgery, Bariatric Surgery / Metabolic, Department of General Surgery and Robotics, Metabolic And Bariatric Surgery
24 years experience
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NABH Accredited Hospitals for Laser Treatment for Pilonidal Sinus

Apollo Spectra Hospital, Karol Bagh

Apollo Spectra Hospital, Karol Bagh

66A, 2, New Rohtak Road 110005
Excellence in General Surgery
4.8/5
Alpine Hospital

Alpine Hospital

Plot No. 140, Near Mother Dairy 122001
Excellence in General Surgery
4.9/5
Apex Hospital, Naraina Vihar

Apex Hospital, Naraina Vihar

E-22, Goswami Girdhari Lal Marg 110028
Excellence in General Surgery
4.8/5
Max Hospital, Gurugram

Max Hospital, Gurugram

B Block, Sushant Lok 1 122001
Excellence in General Surgery
4.5/5
Max Super Speciality Hospital, Shalimar Bagh

Max Super Speciality Hospital, Shalimar Bagh

FC 50, Max Wali Rd, C And D Block 110088
Excellence in General Surgery
4.8/5
Max Super Speciality Hospital, Vaishali

Max Super Speciality Hospital, Vaishali

W-3, Ashok Marg 201012
Excellence in General Surgery
4.9/5
Max Multi Speciality Centre, Panchsheel Park

Max Multi Speciality Centre, Panchsheel Park

N 110, Block N 110017
Excellence in General Surgery
4.7/5
Max Institute Of Cancer Care, Lajpat Nagar

Max Institute Of Cancer Care, Lajpat Nagar

2nd, 26A, Ring Rd, Vikram Vihar 110024
Excellence in General Surgery
4.9/5

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