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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Procedures

Pilonidal Sinus Procedures

Expert surgical treatment options available for your condition.

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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Why Choose Dr. Adarsh?

20+ Years Experience

Extensive surgical experience across multiple specialties and hospitals

International Training

Fellowship in Advanced Laparoscopy from Belgium

Minimally Invasive

Laparoscopic and robotic techniques for faster recovery

Published Research

Peer-reviewed publications in medical journals

Multi-Hospital Practice

Available at Apollo Clinic and SPARSH Hospital

Patient-Centered Care

Personalized treatment plans for every patient

Ready to Discuss Your Treatment?

Schedule a consultation to discuss your pilonidal sinus options with Dr. Adarsh.

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