Pilonidal Cyst (Sinus Pilonidalis) - Lasertherapy
Modern, low-pain, minimally invasive surgery of the pilonidal sinus
| Sinus Pilonidalis Laser Check |
| Operation time: 10-15 minutes |
| Hospital stay: No |
| Open wound: Yes, but significantly smaller than with conventional surgery |
| Incapacity to work: 3-7 days |
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General anethesia: Generally no, but depends on the findings |
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Costs: Currently, laser treatment is not yet covered by statutory health insurance companies |
Gentle laser treatment of Pilonidal cyst (coccyx fistulas) with the SiLaC method
SiLaC® is a safe procedure for treating coccyx fistulas. The coccyx fistula is irradiated with a laser beam using a minimally invasive technique. Minimally invasive means that only a small procedure with minimal wounds is required. SiLaC stands for “sinus laser ablation of the cystic duct”.
The operations are usually performed under local anesthesia. During the treatment, which only takes a few minutes, a probe is inserted into the inflamed fistula tract. Laser energy is used to precisely obliterate the fistula tissue without damaging the surrounding tissue or even having to remove it.
Any incisions to relieve the abscess are significantly smaller. By withdrawing the probe, the fistula tissue is slowly and surely destroyed. The existing cavity collapses and eventually scars over. The extremely flexible probe is also suitable for use in slightly tortuous passages and can therefore be used anywhere.
The small wounds heal quickly and there is very little secretion of wound fluid, in contrast to conventional surgical procedures where the wound remains open for several months. Swelling often occurs in the area of the cavity, which disappears after several weeks and is not painful. Our patients require very little to no pain medication.
“We have been successfully performing many laser operations on pilonidal sinus for over 10 years and are a supra-regional center in Germany”
Advantages of laser therapy compared to conventional surgery for pilonidal sinus
- Closure of the fistula tract
- Very little pain
- Minimal wound surfaces
- Excellent healing results
- Maximum patient comfort
- Outpatient use under local anesthesia
- Short treatment duration
- Fast recovery
- Only a few days off work - ideal for the self-employed
How does laser surgery for pilonidal sinus work?
This is an optimal diagnosis of a pilonidal sinus (coccyx fistula) for laser surgery. No signs of acute inflammation, no pain.
The so-called pit is shown on the left (arrow). This pit is always located in the midline of the gluteal fold (rima ani) and is usually not painful. The fistula outlet lies above it and is marked here with 2 arrows. In between is the abscess cavity (black line), which is the actual target of the laser operation. This should collapse due to the circular heat radiation. To protect the skin from the heat, a local anesthetic is injected beforehand.
First, the fistula tract is visualized with a probe and thoroughly cleaned out. The hair in the cavity and dead tissue are removed. The hair causes chronic inflammation. This is followed by extensive irrigation with a disinfectant solution.
The pit is then punched out with a special punch. The diameter is 3-4 mm and results in a clean wound edge that can heal well.
Insertion of the laser diode into the fistula tract and the cavity. Close the cavity and the duct by slowly withdrawing it several times. After the first pass, the cavity is cleaned again with a small brush.
End of the operation. The cavity is closed, there are still 2 small openings from which fluid can escape for 2-3 weeks. The former cavity is now slightly swollen. It is important to cool it well in the first few hours with cool packs, but these must not be placed directly on the skin. Please always wrap it, e.g. with a tea towel.
For a better understanding of the laser method, there is an animated video from Biolitec on You Tube. It clearly shows you the course of the SiLac method.
- Please note: Laser therapy for Pilonidal Sinus (Pilonidal Sinus) is not covered by statutory health insurance.
- Private patients should contact their insurance company before the operation to find out whether and how the costs are covered.
- For patients with a longer journey, we can offer a combined appointment over 2 days. On the first day, the patient is examined and, if necessary, informed about the operation. However, not all patients are suitable for this form of therapy! Please make an appointment at: op@copv.berlin
If you would like this therapy, we will be happy to provide you with a cost estimate as an IGeL service (self-payer). Please note that the operation will be charged separately for self-paying patients. We will issue you with an invoice for the operation, which you can pay by debit/credit card at our Lankwitz location. The costs for any general anesthesia will be calculated and billed separately by our anesthesiologists.
You are welcome to book an appointment with our doctors.
We look forward to hearing from you.