Pilonidal Sinus Excision with Primary Closure
Surgical excision of pilonidal sinus tracts with direct closure — for limited single-tract disease.
What is Pilonidal Sinus Excision with Primary Closure?
Pilonidal sinus excision with primary closure involves complete surgical removal of the sinus pits, tracts, and granulation tissue, followed by direct suture closure of the wound. It is suitable for simple, limited single-tract pilonidal disease without extensive branching in patients with a shallow natal cleft.
Dr. Tagore Mohan Grandhi performs pilonidal sinus excision. Post-operative laser hair removal of the natal cleft is strongly recommended to prevent hair re-implantation and reduce the 10–15% midline recurrence rate associated with direct closure.
Suitable for patients with simple limited single-tract pilonidal sinus without extensive branching.
How the Procedure Works
Sinus Tract Mapping
Methylene blue dye or probe mapping identifies all pits and tracts for complete excision.
Elliptical Excision
Elliptical excision made around all sinus pits and tracts. Dissection extends to presacral fascia.
Primary Closure
Wound edges closed in layers with absorbable deep sutures and non-absorbable skin sutures.
Wound Care
Wound reviewed at day 5 and day 10. Sutures removed at 10–14 days.
Hair Removal
Post-operative laser hair removal of the natal cleft at 6 weeks to prevent hair re-implantation and recurrence.
Outcomes
Who Needs This Treatment?
- →Simpler and quicker than flap surgery for limited single-tract disease
- →Same-day surgery with early return to activity
- →Post-operative laser hair removal significantly reduces the 10–15% recurrence
- →If recurrence occurs, off-midline flap surgery remains available
Primary closure is the simplest approach for limited pilonidal disease. Combined with post-operative laser hair removal of the natal cleft, recurrence rates approach those of flap surgery in carefully selected patients.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Pilonidal Sinus Excision with Primary Closure Cost in Hyderabad
The cost of pilonidal sinus excision with primary closure in Hyderabad depends on the complexity of the condition, the technology and implants used, and the care needed before and after the procedure. Your treating doctor will share a personalised estimate after your consultation.
| Procedure | Approximate Cost Range |
|---|---|
| Pilonidal Sinus Excision with Primary Closure | Shared after consultation |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Pilonidal Sinus Excision with Primary Closure Cost
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Complexity and severity of the condition being treated
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Type of anaesthesia and surgical technique used
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Pre-operative investigations and evaluations required
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Duration of hospital stay and post-operative care needed
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Any additional procedures performed during the same surgery
Is Pilonidal Sinus Excision with Primary Closure Covered by Insurance?
Pilonidal Sinus Excision with Primary Closure may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and the approval process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Grandhi will evaluate your symptoms, medical history, and investigation reports to determine whether Pilonidal Sinus Excision with Primary Closure is right for you, and will guide you on the expected outcomes and estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.