Laser removal of pilonidal sinus (coccygeal cyst) (SiLaC)
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Pilonidal sinus (PS) or coccygeal cyst is a congenital condition characterized by a narrow channel located in the soft tissues in the sacral area, with the possible formation of a cyst.
The external opening of the pilonidal sinus is located in the intergluteal fold, while its other end terminates in the subcutaneous tissue. When the external openings of the PS become blocked, bacterial growth begins, leading to purulent inflammation. The infection spreads into the fatty tissue surrounding the primary tract, resulting in the formation of a secondary opening of the sinus or cyst.
Symptoms of pilonidal sinus
This condition is more common in men aged 16 to 30 years. Patients usually seek medical attention when they begin to experience pain in the sacral area. Initially, an infiltrate forms, followed by a purulent abscess. If a specialist is consulted at this stage, managing the condition is relatively straightforward.
Treatment of Pilonidal Sinus
Traditionally, pilonidal sinus treatment is always carried out using surgical methods. Surgical treatment involves the complete removal of the channel along with the primary opening. If there are complications in the form of purulent-inflammatory processes, the adjacent soft tissues are removed, and infectious foci are excised.
SiLaC (sinus laser closure) or laser surgery is the most modern treatment method, suitable for any form of the disease. With this method, treatment is performed as quickly and painlessly as possible for the patient, avoiding the removal of soft tissues and the formation of scars. Even in the most severe cases of pilonidal sinus inflammation, the operation lasts no more than 30 minutes.
The laser focuses its effect only on the inflamed areas of the epithelium, completely preserving healthy cells, which significantly speeds up the recovery process in the postoperative period. In addition, the laser has a coagulating property, eliminating the possibility of bleeding from damaged vessels and the risk of infection. After surgery using the SiLaC method, there is no risk of recurrence.
