I have pilonidal sinus with abces. I want to know which surgery is better. laser surgery or normal surgery and why.

Question

Hi lybrate-user. If it is a pilonidal sinus as mentioned by you. the newly available radial laser technology is best. But for this surgery the surgeon should have all the accessories to perform the surgery as it has to be performed at many sites over the sinus. So the knowledge of the surgeon is also considered. Again the cost of laser is high. If it is associated with abscess as mentioned by you. Laser surgery is not indicated as there is no tract available for ablation. There are many more methods to treat pilonidal sinus. To plan the surgery surgeon has to evaluate .site. Progress. Direction.depth. Splittings. Ramifications. Accordingly we have to plan. Which method is best for you. If you need some more assistance then call me. I am at mumbai. Just 3 hours from pune. For details you can google my name

Manish C. Dhuri · Accepted Answer

Hi lybrate-user. If it is a pilonidal sinus as mentioned by you. the newly available radial laser technology is best. But for this surgery the surgeon should have all the accessories to perform the surgery as it has to be performed at many sites over the sinus. So the knowledge of the surgeon is also considered. Again the cost of laser is high. If it is associated with abscess as mentioned by you. Laser surgery is not indicated as there is no tract available for ablation. There are many more methods to treat pilonidal sinus. To plan the surgery surgeon has to evaluate .site. Progress. Direction.depth. Splittings. Ramifications. Accordingly we have to plan. Which method is best for you. If you need some more assistance then call me. I am at mumbai. Just 3 hours from pune. For details you can google my name

Pravin Gore · Answer

In presence of abscess, open surgery is better. The laser may fail.