HomePilonidal SinusSurgical Options

Surgical
Solutions

From Laser ablation to advanced Flap reconstruction. We customize the surgery based on the complexity of your sinus.

Choosing the Right Procedure

Laser Pilonidoplasty

A laser fiber burns the tract from inside. No cuts, minimal pain. Best for simple sinus.

Flap Surgery (Limberg)

The gold standard for complex/recurrent cases. A skin flap covers the defect and flattens the deep cleft.

Wide Excision (Open)

The whole area is cut out and left open to heal. High success but takes 2-3 months to heal. Rarely done now.

Primary Closure

Excision with stitches. High recurrence rate because stitches in the midline tend to break.

Why is Flap Surgery (Limberg) so effective?

In simple surgeries, the deep cleft between the buttocks remains. This means sweat and hair can collect again, causing recurrence.Flap Surgery flattens this cleft by rotating healthy skin over the area. No deep cleft = No place for hair to collect.

Lowest Recurrence Rate (0-2%)
Director's Interview

Laser vs Flap Surgery

Which is best for you?

"If it's your first time, Laser is great. But for recurrent cases, Flap surgery is the permanent answer."

Dr. Jaya Maheshwari explains the pros and cons of Laser Pilonidoplasty vs Limberg Flap Surgery using case examples.

Vice President IAGES (2020–2022)
Trained in Germany & USA
Pioneer of Laser Proctology
Now Watching: Dr. Jaya on Advanced Treatments

Recovery Time

  • Laser: 2-3 Days
  • Stitches: 10-14 Days
  • Flap: 14-21 Days
  • Open Wound: 2-3 Months

Expert Surgeon

Dr. Jaya specializes in Limberg Flap Reconstruction.

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