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Treatment of Pilonidal Sinus with laser

Pilonidal Sinus

• Pilonidal sinuses are rare, affecting about 26 in 100,000 people each year.
• They affect at least twice as many men as women. The average age for a pilonidal sinus is 21 in men and 19 in women.
• They are less common in children and people over the age of 45.

Pilonidal Sinus Treatment

A Pilonidal sinus also called Pilonidal cyst, Pilonidal abcess or Sacrococcygeal fistula is a cyst (small sac) or tunnel in the skin. It develops over the tailbone at the top of the cleft of the buttocks. The cyst usually contains hair and skin debris. More than one cyst may develop and these are linked by tunnels under the skin.

Causes Of Pilonidal Sinus

+ More common in males
+ Sedentary lifestyle
+ People who sit for long hours at a stretch eg. Drivers
+ Thick body hair especially those that are coarse and curly
+ Obesity
+ Previous injury in the area
+ Family history of Pilonidal Sinus
+ Having a deep cleft between buttocks
+ History of previous Pilonidal Cyst

Causes Of Pilonidal Sinus

Recurring episodes of pain or swelling in the area of the tailbone.

Yellowish pus-like or bloody discharge from the tailbone area which may be foul smelling.

Painful lump under the skin in that area

Pilonidal Sinus Treatment Using Laser(SiLaT)

Photo-coagulation following inside the cyst results in sublimation of the capsule inside the coccyx cyst. The aseptically inflammation promoted by photo-coagulation with LASER result to a perfect healing of Pilonidal sinus in about a week.

Advantages of Laser Surgery

Pilonidal Sinus

Video-assisted laser ablation of the Pilonidal Sinus

Video-assisted laser ablation of the pilonidal sinus (VALAPS) is a minimally invasive procedure performed under spinal anesthesia. It involves removing hair and necrotic material from the sinus tract by sharp curettage guided by video scope and laser ablation of the sinus tract in a fan-shaped to avoid untreated areas. The laser energy causes the destruction of the sinus epithelium and the simultaneous obliteration of the tract. The video endoscope allows direct vision of the sinus tract and the hair present inside the tract.


Advantages

In this procedure, surgical wounds are minor, have a faster healing rate, early return to work, and have a high success rate.

Dr. Kamal Gupta MS FACS FAIS FIAGES FISCP FACRSI

Certified Trained Specialist in Laser Proctology, Berlin, Germany
Travelling Fellowship St. Mark’s London, UK
Fellow International Society of University of Colon and Rectal Surgeons
Author of the text book on “Lasers in Proctology” , published by Springer

30 Years
of Experience

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