best-laser-pilonidal-sinus-treatment-delhi
Best Laser Pilonidal Sinus Treatment in Delhi - Dr. Kapil Agrawal
Complete Range of Procedures | Best in Class, USFDA Approved Laser Treatment | No Cuts and No Stitches | Same-Day Discharge | All Medical Insurance Accepted | EMI Options Available
Dr. Kapil Agrawal - Expert Pilonidal Sinus Surgeon in Delhi, India
Dr. Kapil Agrawal offers advanced pilonidal sinus treatment depending upon the complexity of the disease. The treatment includes laser technology, open conventional techniques and FLAP surgeries, ensuring optimal outcomes for each patient.
With 23 years of experience and 7000+ successful surgeries, Dr. Kapil Agrawal provides personalized treatment plans based on the complexity of the disease. He uses world-class quality, highly advanced, USFDA approved 1470 nm Laser Machines for the best results.
Dr. Kapil Agrawal, a laparoscopic and laser surgeon in Delhi, is widely regarded as one of the best pilonidal sinus surgeons in Delhi, India. He offers extreme confidentiality, strict adherence to international guidelines, and personalized care with direct doctor-patient relationship.
What is Pilonidal Sinus?
A pilonidal sinus is an abnormal tract or tunnel running underneath the skin. Also known as a pilonidal cyst or pilonidal abscess, the tract usually contains fluid, hair, abscess, and dirt. It usually occurs in the cleft at the top of the buttocks.
It is a chronic inflammatory process that can result in a substantial decrease in quality of life. The treatment of pilonidal sinus is challenging because of the high chances of recurrence and delayed wound healing by conventional procedures.
Laser treatment of pilonidal sinus is quite promising as the chances of recurrence are almost negligible, and wound healing is swift because of its minimally invasive nature.
Causes of Pilonidal Disease
- Positive family history of the disease
- Obesity
- Poor hygiene
- Deep natal cleft anatomy
- Hirsutism or excessive hair in the natal cleft
- Occupation requiring prolonged sitting like drivers (also known as Jeep disease)
- Excessive sweating
Presentation of Pilonidal Sinus
The pilonidal disease has a broad spectrum of presentations starting from incidental findings to a severe form with significant disability.
Asymptomatic Stage
No symptoms except for small swellings or small pits in the buttock's cleft.
Management:
- Wait and watch policy, or no intervention is required
- Avoid prolonged sitting
- Maintain personal hygiene
Acute Stage
Formation of abscess or pus associated with pain and fever.
Initial Management:
- Drainage of pus or abscess and dressings
- Laser depilation or removal of hair to be done to prevent a recurrence
Chronic Phase
Formation of the sinus with the intermittent discharge of pus. Sinus formation can be associated with multiple tracts or branches. Pain is less intense and often intermittent.
Treatment:
- Laser surgery (SiLaC procedure, LA-EPSIT procedure) is highly effective for treating such a condition
- Sometimes flap based repairs are advised for extensive disease
Recurrent Phase
Sometimes pilonidal sinus can recur despite the best treatment.
Management:
- The best way to prevent or lower the recurrence rate is the early and timely intervention of the primary disease
- A flap-based repair (cleft lift repair, Limburg flap repair) is done in complex, recurrent pilonidal disease
Management of Pilonidal Sinus - Most Advanced Laser Treatment
Laser procedures for pilonidal sinus are significantly becoming popular because of its minimally invasive nature, speedy recovery, same-day discharge with minimal post-operative follow ups or dressings.
1. SiLaC - Pilonidal Sinus Laser Assisted Closure
This procedure is done for only simple, single-track pilonidal disease. After cleaning and thorough irrigation of the tract, laser emitting laser fiber is inserted into the track, and a defined amount of energy is delivered. This energy causes thermal ablation and collapse of the tract.
Benefits:
- Patient is discharged on the same day
- Minimal follow-up required
- Effective for simple, single-track disease
2. Laser Assisted EPSIT Procedure (LA-EPSIT)
A highly sophisticated, skinny endoscopic camera is introduced into the sinus, and all the debris and a small tuft of hairs are removed under direct vision. This technique provides a good clearance of the cavity and hence minimizes the chance of recurrence.
Performed at very centers due to the high cost of infrastructure involved, this technique is beneficial for complex fistula with multiple branching. The tract is then ablated with the help of laser emitting radial fiber through a photocoagulation mechanism.
Highlights:
- Fast recovery
- Negligible recurrence
- Same day discharge
- Effective for complex fistula with multiple branching
3. Flap-Based Repairs for Complex Cases
In highly complex or recurrent pilonidal disease, we might advise a flap-based repair. Such types of pilonidal disease have extensive branching with involvement of both buttocks. These require extensive debridement of the wound, which is then closed with a flap-based repair.
Cleft Lift Repair
Usually indicated for the patient having deep natal cleft anatomy.
Limberg Flap Repair
Indicated for patients having an extensive disease involving both buttocks.
Advantages of Laser Treatment for Pilonidal Sinus
Minimally Invasive
Laser procedures are minimally invasive, causing minimal tissue damage and faster healing.
Speedy Recovery
Patients experience faster recovery compared to traditional surgical methods.
Same-Day Discharge
Most patients can be discharged on the same day or next day of surgery.
Minimal Follow-ups
Minimal post-operative follow-ups or dressings required.
Negligible Recurrence
The chances of recurrence are almost negligible with laser treatment.
Management of Complex Cases
Effective for complex and recurrent pilonidal disease with multiple branching.
Why Choose Dr. Kapil Agrawal for Pilonidal Sinus Treatment?
Expertise & Technology
- 23+ years of surgical experience
- World best quality, USFDA approved 1470 nm Laser Machines
- Complete range of all the best treatment modalities
- Highly experienced and internationally trained team
Patient Care & Approach
- Extreme confidentiality
- Strict adherence to international guidelines
- Honest opinion and detailed discussion about the best modality
- Customized treatment plans and personalized care
- Direct doctor-patient relationship without third-party involvement
Recovery & Aftercare
Recovery Time
The majority of our patients can join back their work in five to seven days post-surgery. Recovery depends on the pilonidal sinus disease complexity and the type of procedure chosen. Most patients are discharged on the same day or the next day of surgery.
Follow-up Care
The majority of the patients don't require any follow-ups. Some patients might require irrigation of wounds 2-3 times. We have specialized dressers who can visit your house to clean and rinse the wound or guide you on how to rinse the track at home.