Pilonidal sinus surgery in Hyderabad
A pilonidal sinus is a small cyst or abscess at the top of the buttock cleft, near the tailbone, typically containing hair, skin debris and bacteria. Surgical removal is the only definitive cure.
All major Mediclaim and cashless health insurance accepted (Apollo Hospitals TPA desk support).
Dr. Sujeeth Kumar Bashetty
MBBS, MS (General Surgery), FIAGES, FAIS, FALS, DIPMAS, FICRS · TSMC Reg. No. 61440
A pilonidal sinus is a small cyst or abscess that forms at the top of the buttock cleft (near the tailbone), typically containing hair, skin debris, and bacteria. Left untreated, it causes persistent pain, swelling, and recurring infections. Surgical removal is the only definitive cure.
Dr. Sujeeth performs minimally invasive pilonidal sinus surgery at Apollo Hospitals, Hyderabad. It offers faster recovery, less post-operative pain, and significantly lower recurrence rates than conventional open surgery.
Understanding pilonidal sinus
A pilonidal sinus develops when hair penetrates the skin and becomes embedded under it, causing a foreign body reaction and subsequent infection. It most commonly affects young adults and people who sit for prolonged periods.
Symptoms
- Painful swelling or lump near the top of the buttock cleft
- Discharge of pus or blood from a small opening in the skin
- Foul-smelling discharge
- Redness and tenderness around the area
- Recurrent pain and abscess formation
- Fever or malaise during acute infection episodes
Types of pilonidal disease
Acute pilonidal abscess
A painful, swollen collection of pus requiring immediate incision and drainage. This provides quick relief but does not cure the underlying sinus tract.
Chronic pilonidal sinus
A persistent sinus tract with intermittent discharge, pain, and recurrent abscess formation. Requires definitive surgical excision for lasting cure.
Complex or recurrent pilonidal disease
Multiple sinus tracts or a sinus that has recurred after previous surgery. Requires a more extensive approach such as flap reconstruction.
Treatment options
Minimally invasive sinusectomy (EPSIT / SiLaC)
An endoscopic or laser technique that removes the sinus tract through a very small incision. Minimal tissue disruption, no large open wound, and return to normal activities within days.
Wide excision and primary closure
The sinus and surrounding tissue are removed and the wound is closed directly. Effective for straightforward cases with low recurrence when closed off-midline.
Flap procedures (Karydakis / Limberg)
Tissue flap techniques that flatten the natal cleft and reposition the scar away from the midline, dramatically reducing the chance of recurrence. Recommended for complex or recurrent disease.
Why choose minimally invasive pilonidal surgery?
- No large open wound: significantly reduced post-operative discomfort
- Same-day or next-day discharge for most patients
- Return to sitting and normal activities within 3–7 days
- Low recurrence rate with experienced surgical technique
- No prolonged wound dressing and home nursing requirements
Pilonidal sinus: causes and treatment. Dr. Sujeeth on YouTube (in Telugu).
Frequently asked questions
Q: Will the pilonidal sinus come back after surgery?
A: Recurrence depends on the surgical technique used and patient factors such as hair growth and hygiene. Minimally invasive and off-midline techniques have significantly lower recurrence rates than conventional open excision left to heal by secondary intention.
Q: How long does recovery take?
A: With minimally invasive surgery, most patients return to desk work within 3–5 days. Vigorous activity and prolonged sitting should be avoided for 2–3 weeks.
Q: Is the procedure done under general anaesthesia?
A: Most pilonidal sinus procedures are performed under spinal or local anaesthesia with sedation as a day-case procedure. General anaesthesia is used for more extensive operations.
Q: Does laser hair removal help prevent recurrence?
A: Yes. Laser hair removal around the natal cleft after surgery significantly reduces the risk of sinus recurrence by eliminating the primary cause: embedded hair.
పైలోనిడల్ సైనస్ అనేది పిరుదుల మధ్య చీలిక పై భాగంలో, తోక ఎముక దగ్గర ఏర్పడే చిన్న తిత్తి లేదా చీము గడ్డ. ఇందులో సాధారణంగా వెంట్రుకలు, చర్మపు వ్యర్థాలు, బ్యాక్టీరియా ఉంటాయి. శస్త్రచికిత్స ద్వారా తొలగించడమే ఖచ్చితమైన నివారణ. మినిమల్లీ ఇన్వేసివ్ శస్త్రచికిత్స తర్వాత చాలా మంది అదే రోజు లేదా మరుసటి రోజు ఇంటికి వెళ్తారు.
Dr. Sujeeth’s Healthcare Clinic, Manikonda, Hyderabad
Surgery at Apollo Hospitals, Jubilee Hills. Call 99630 09090.
