How Much Does Pilonidal Sinus Surgery Cost in Delhi?

Pilonidal Sinus Treatment in Delhi | Costs & Recovery Guide

Pilonidal sinus surgery is a routine yet essential procedure to remove painful cysts or tunnels near the tailbone, often caused by infection or ingrown hairs. From traditional excision and drainage to advanced minimally invasive methods like endoscopic ablation, doctors use a range of techniques to treat the condition effectively and reduce the risk of recurrence.

What is the Cost of Pilonidal Sinus Surgery in Delhi?

The cost of pilonidal sinus surgery in Delhi generally starts from around ₹40,000 and may go up to ₹80,000–₹89,000 depending on the technique (e.g., open excision, primary closure, laser, endoscopic) and other factors such as hospitalization and surgeon’s fees. Minimally invasive techniques like laser or endoscopic surgeries generally range from about ₹60,000 to ₹70,000, with averages around ₹65,000 and potential to reach ₹80,000–₹89,000 depending on hospital and complexity.  

What are the Different Procedures of Pilonidal Sinus Surgery?

Pilonidal sinus surgery can involve various types of procedures, which we will discuss in this section. Let us explore them in detail:

● Incision and Drainage

Incision and drainage are used in acute abscess management to relieve pain and infection but is usually not a definitive treatment. Additional excision or other procedures are often required later. This is the first step in treating an infected pilonidal sinus, where doctors make a small incision to drain the pus and fluid, providing immediate pain relief and swelling. Although it provides relief, extensive surgery may be required to stop recurrence.

● Excision with Open Healing

Excision with open healing typically takes longer to heal but avoids tension associated with flap or primary closure, which may impact recurrence risk. Some flap techniques may offer comparable or better recurrence rates.

● Excision with Closure

In this surgical procedure, surgeons remove the sinus tract and close the wounds with stitches to promote faster healing. However, this method might have a higher chance of recurrence compared to open healing.

● Minimally Invasive Procedures

Many clinics in Delhi offer minimally invasive procedures like laser surgeries to remove cyst tissues, promoting healing with less discomfort and faster recovery. Some doctors use the cleft lift procedure to reduce the depth of the natal cleft to minimise the chance of recurrence.

What are the Factors that Influence the Choice of Procedure?

Several factors influence the choice of surgical procedure to remove the cyst or abscess. Here, we will discuss them in detail:

• Severity of the Sinus: Simple drainage might be sufficient for mild cases, while a more extensive procedure may be required for severe or recurrent cases.
• Patient Preference: Some patients may prefer the faster healing of excision with closure. While others may opt for healing or a minimally invasive option to minimise recurrence.
• Surgeon’s Recommendation: The surgeons will assess the patient’s condition and recommend the most appropriate procedure depending on their expertise and experience.

What to Expect After Pilonidal Sinus Surgery?

Pilonidal sinus surgery recovery time generally varies from person to person. This depends on the type of procedure and individual factors, such as overall health and medications. In this section, we will describe some key aspects of pilonidal sinus surgery recovery:

• Pain Management: Mild to moderate pain is normal after the surgery, which can be managed with prescribed medicines.
• Wound Care: Proper cleaning and dressing changes are essential to prevent infection. If the wound is left open, it may take longer to heal.
• Activity Restrictions: Avoid prolonged sitting, heavy lifting and strenuous activities for a specific period as per the advice of your doctor.
• Follow-up Appointments: Regular check-ups with your surgeon are necessary to monitor healing progress and address any complications.

Maintain a healthy diet to support healing, including adequate proteins and vitamins. Additionally, try to keep yourself hydrated and avoid prolonged sitting or straining during bowel movements. Keep your surgical area clean and try to shave or clip hair around the wound to prevent the growth of ingrown hairs.