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Pilonidal Sinus

Laser, Flap & Minimally Invasive Pilonidal Sinus Surgery

Pilonidal sinus is a chronic condition in the natal cleft (between the buttocks) caused by ingrown hair and debris forming infected tracts. Dr. Adarsh, based in Bangalore, is a published expert in pilonidal sinus treatment, offering laser destruction (SiLaC), endoscopic treatment (EPSiT), Limberg flap, and Karydakis procedures for definitive cure with minimal recurrence.

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Medical illustration of Pilonidal Sinus

Medical illustration — for educational purposes only.

Pilonidal Sinus Procedures

Our verified specialists in Bangalore offer the full range of surgical and non-surgical options for pilonidal sinus.

Laser Treatment (SiLaC)

Sinus Laser Closure (SiLaC) uses a radial-emitting laser fiber to destroy the pilonidal sinus tract from within, preserving surrounding healthy tissue. This minimally invasive technique requires no large incision, causes minimal pain, and allows return to work within 3-5 days — a significant improvement over traditional open surgery. Dr. Adarsh provides this care at Apollo Clinic, Indiranagar, Bengaluru.

SiLaC (Sinus Laser Closure)Laser Ablation of Sinus Tract
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Limberg Flap

The Limberg rhomboid flap is a reconstructive technique for complex or recurrent pilonidal sinuses. After complete excision of the diseased tissue, a rhomboid-shaped skin flap is rotated to fill the defect, flattening the natal cleft to prevent recurrence. Dr. Adarsh, based in Bangalore, achieves recurrence rates below 5 percent with this technique.

Limberg Rhomboid FlapModified Limberg Flap
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Karydakis Procedure

The Karydakis asymmetric closure technique involves excising the pilonidal sinus and closing the wound off-midline, effectively flattening the natal cleft and eliminating the environment that promotes recurrence. This procedure offers excellent healing rates and is Dr. Adarsh, based in Bangalore,'s preferred technique for primary pilonidal disease.

Karydakis Asymmetric ClosureModified Karydakis Technique
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EPSiT

Endoscopic Pilonidal Sinus Treatment (EPSiT) uses a fistuloscope to visualize and destroy the sinus tract under direct vision. Hair, debris, and granulation tissue are removed endoscopically, and the tract is ablated. This video-assisted technique offers the advantage of complete visualization with minimal tissue destruction. For patients in Bangalore seeking expert surgical care, Dr. Adarsh offers comprehensive treatment options.

EPSiT (Endoscopic Pilonidal Sinus Treatment)Video-Assisted Ablation
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Pilonidal Sinus Cost in Bangalore (2026)

Costs vary by hospital tier, surgical approach, and complexity. Use this table as a guide.

Hospital TierEstimated Cost (INR)
Government / Trust Hospital₹20,000 – ₹60,000
Mid-range Private Hospital₹60,000 – ₹1,50,000
Premium / Corporate Hospital₹1,50,000 – ₹4,00,000

Costs are estimates as of April 2026. Actual costs depend on hospital, surgeon, and complexity of the procedure.

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Frequently Asked Questions

Is this surgery covered by insurance in India?

Most health insurance plans — including CGHS, ESI, Ayushman Bharat, and private insurers — cover medically necessary surgical procedures. Always confirm coverage and obtain pre-authorisation before booking your surgery.

How do I find the best specialist in Bangalore?

Look for a surgeon with specific training in the procedure, a high surgical volume, and practice at a NABH-accredited hospital. Patient-Help.com matches you with verified specialists in Bangalore — free, confidential, within 24 hours.

How long does recovery take?

Recovery time varies by procedure and patient health. Laparoscopic procedures typically allow return to light work within 5 to 7 days. Your specialist will give you a personalised recovery plan during your consultation.

What are the risks of surgery?

All surgical procedures carry some risk, including infection, bleeding, and anaesthesia reactions. Serious complications are rare when performed by an experienced surgeon in an accredited hospital. Your surgeon will discuss all risks with you before the procedure.

What should I bring to my first consultation?

Bring all previous investigation reports (blood tests, scans, X-rays), a list of current medications, your health insurance card, and a list of questions for your surgeon. Patient-Help.com can help you prepare for your consultation.

How does Patient-Help.com work?

Submit your details and medical condition on Patient-Help.com. Our team reviews your case and matches you with verified hospitals and specialists in Bangalore. You receive a call within 24 hours — completely free and confidential.

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Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Always consult a qualified specialist before making any healthcare decisions. Patient-Help.com connects patients with verified hospitals and doctors but does not provide medical diagnoses or treatment recommendations.

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