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Laser treatment for pilonidal sinus, also known as Laser Pilonidotomy or SiLaC™ (Sinus Laser Closure), is a minimally invasive procedure used to treat pilonidal sinus disease. A pilonidal sinus is a small hole or tunnel in the skin, usually located near the tailbone at the top of the buttocks, that can become infected and filled with pus. This condition often results in pain, swelling, and recurrent abscesses.

Key Features of Laser Pilonidal Sinus Treatment:

• Minimally Invasive: The laser technique involves a small incision with minimal tissue damage.
• Precision: The laser effectively targets the sinus tract, sealing it from within while preserving surrounding tissues.
• Less Pain: The procedure is associated with less postoperative pain compared to traditional surgical methods.
• Quick Recovery: Patients usually experience faster recovery and can return to normal activities sooner.
• Outpatient Procedure: The treatment is typically performed on an outpatient basis, eliminating the need for a hospital stay.
• Low Recurrence Rate: The laser effectively closes the sinus tract, reducing the likelihood of recurrence.

Indications:

Laser treatment is recommended for:

• Patients with chronic or recurrent pilonidal sinus disease.
• Those seeking a less invasive alternative to traditional excision surgery.
• Cases where conservative treatments, such as drainage or antibiotics, have failed.

Procedure:

The procedure typically involves the following steps:

• Preparation: The area around the sinus is cleaned, and local anesthesia is administered.
• Debridement: Any infected tissue or debris is carefully removed from the sinus tract.
• Laser Application: A thin laser fiber is inserted into the sinus tract. As the fiber is gradually withdrawn, laser energy is applied to destroy the lining of the tract, sealing it shut.
• Closure: In many cases, the external opening is left to heal naturally, although it may be sutured closed.

Post-Procedure Care:

• Patients may experience mild discomfort, which can be managed with over-the-counter pain medications.
• Proper wound care and hygiene are essential to prevent infection.
• Patients are advised to avoid strenuous activities for a few weeks.
• Follow-up visits are necessary to ensure proper healing.

Benefits of Laser Pilonidal Sinus Treatment:

• Less Scarring: The minimal tissue damage results in smaller scars.
• Reduced Risk of Infection: The laser cauterizes blood vessels, reducing the risk of postoperative infection.
• Faster Return to Normal Activities: With quicker healing, patients can resume daily activities sooner.

Laser treatment for pilonidal sinus is an effective and patient-friendly alternative to traditional surgery, offering reduced pain, faster recovery, and lower recurrence rates.