LASER EXCISION OF PILONIDAL SINUS (SILaC) - WITHOUT USING SCALPEL AT ALL!

 

Inflamed coccygeal cyst is an inflammation of the coccygeal area that causes pain and is often accompanied by a discharge of fluid through small holes in the skin (fistulas). Coccygeal cyst abscess should be treated quickly with surgical drainage and resection of the bladder to prevent the spread of inflammation to the skin (fistula) or even worse to the coccygeal bone.

 

During the  Excision of pilonidal Cyst with Laser (SILaC) , the surgeon SK Chiridis first checks the course of the fistula using a special Blue de methylene ink. Then with a small expansion in the hole of the fistula inserts a special scraper and carefully cleans the fistula and the bladder from its contents (necrotic tissue, hairs). After being thoroughly cleaned, the syringe pore is cauterized sequentially with the fiber of the SILaC Laser, resulting in the destruction of the inner wall of the abscess and the fistula without further incision. The area is washed with plenty of saline. In rare cases and if local conditions do not allow the use of Laser, other, older techniques such as the  semi-closed method or Limberg or Karydakis flap surgery are performed.

 

 

The new SILaC technique allows, through a microscopic incision, the photocoagulation of the inside of the bladder with LASER fiber optics and dramatically accelerates healing. Our patients state that they are excited about the result that allows them to leave the hospital even on the day of the operation and return to work within 3-4 days, without the need for painful and long-term trauma changes.

 

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