I know Pilonidal Sinus can be treated with both Open Incision Surgery, as well as Laser Surgery (Laparoscopy). For personal reasons I want the laparoscopy. Which of the other hospitals have facility for Laser Surgery of Pilonidal Sinus? And who are the Doctors / Surgeons in these hospitals who do laser surgery of Pilonidal Sinus?

Dr. Shriniwas DeshpandeGeneral Surgeon24yrs exp

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I understand the word laser and laparoscopy denote precise, painless or minimal invasive surgery. If the diagnosis of pilonidal sinus is confirmed then simple lay opening the tract and removal of the hair tufts resting at the depth of the sinus is the most accurate treatment. The hair tufts resting in the depths of the sinus act as a foreign body causing the discharge due to irritation and may lead to pus formation. Once these foreign body. The tufts are removed the sinus heals very well. The origin of these tufts of hair is person's own hair which are broken away from their roots and which accumulate in the natal cleft. 'Long sitting hours' is the most common reason why it happens. One has to take care that the broken hair do not accumulate in the natal cleft to avoid recurrence. Some times flap surgery is done to obliterate the very deep natal cleft. Though pilonidal sinus, a very minor illness, is very irritating for the person who has it. With systematic efforts and education of why one gets it is discussed, it is a very easy disease to manage. Fistuloscopes are used in Fistula in ano. And Laser is just a cutting tool. It does not provide any great advantage in recovery or avoiding the recurrence. This is a current established science.  

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