Laser removal of pilonidal cyst (SiLaC) is an effective, minimally-invasive and safe treatment method, which can be carried out in ambulatory conditions, under infiltration anaesthesia.
Pilonidal cystPilonidal cyst is a chronic, complex inflammation in the coccygeal region, in the cleft between the buttocks, often causing discomfort to the patient and making him uncomfortable. If the appropriate treatment is not applied, it can cause painful symptoms. If the appropriate treatment is not applied, it can cause painful symptoms. In the acute phase, symptoms of acute general inflammation, such as severe pain of the affected spot, fever, shivers and skin redness in the coccygeal region, are most noticeable.
In the chronic phase the illness usually does not show any symptoms for years, from time to time producing pus or bloody pus discharge with specific unpleasant odour. Bearing in mind those symptoms, to receive more precise diagnosis you should approach a surgeon, who, with the help of an ultrasound scan, can assess the lesion and make a final diagnosis. The pilonidal cyst is easy to confuse with anal fistula, but by differentiating, also anal abscess and skin lesions typical in the course of tuberculosis and Crohn disease should be considered.
Determining eligibility for treatment:The decision about the procedure is made during an eligibility consultation Based on patient's test results and their overall health condition, a decision is made about the procedure and a suitable date is arranged. The laser ablation of pilonidal cyst method (SiLaC) is effective, minimally-invasive and safe treatment method. It can be conducted as an outpatient treatment under infiltrative anaesthesia
The procedure:After the anaesthesia has been administered and the surgical field has been prepared, the pilonidal cyst is cut in its upper end. Using a probe, the channels of the sinus tract are broadened. Subsequently, a laser radial fibre is inserted to the sack of the cyst and laser ablation of its walls is conducted, using a 1470nm wavelength laser. A surgical spoon is used to clean the sack and the sinus tract from the skin debris and hair. After the procedure a sterile dressing is applied. Directly after the conclusion of the procedure the patient is able to leave the treatment room and go home.
Recommendations after treatment:- in the initial period it is essential to change the dressing every day and sanitize the wound with a sterilising solution - after a couple of days, the wound can be cleaned with soap water - until the wound is healed, dressings should be used
The effectiveness of pilonidal cyst treatment with laser ablation is considered to be 90.3% effective during the first session. For patients who required repeated ablation, the effectiveness of the second procedure was estimated to approx. 78.3% The healing of the surgical wound takes approximately 4-6 weeks.
Frequently asked questions
The price is currently PLN 4,900. The price includes check-ups plus our guarantee of carrying out a possible reoperation if the cyst recurs within the first year after the procedure.
Do you have to make a qualifying appointment?
The standard procedure is a prior qualification for the laser treatment during consultation with Dr. Norbert Zapotoczny. We are also prepared to set up the qualification consultation as well as perform the procedure in a single visit, for those coming from other parts of the country. If you are interested please contact our Customer Service Specialists who will provide you with detailed information and set up an appointment.
Does every type of hair cyst qualify for laser treatment?
Typically, any hair cyst qualifies for laser treatment. The exception is an abscess or inflammation of the cyst. In such circumstances, it all depends on the stage of the abscess. If the inflammatory cell infiltration is large but there is no drainage from the abscess, the doctor must first incise it. Then only in the next stage of the treatment the cyst can be removed. On the other hand, if a fistula is formed and the pus is oozing out but the patient does not have severe inflammatory symptoms such as fever, the abscess will not be a contraindication for laser surgery.
How long do I have to wait for getting an appointment?
Doctor appointment availability varies a lot. Please contact our Customer Service to get detailed information on the upcoming time schedule.
Is it possible to perform the procedure on the first visit?
The standard procedure is the prior qualification for the laser method during consultation with Dr. Norbert Zapotoczny. We are also prepared to set up the qualification consultation as well as perform the procedure in a single visit, for those coming from other parts of the country. If you are interested please contact our Customer Service Specialists who will provide you with detailed information and set up an appointment.
Is the procedure performed under anesthesia?
Laser ablation of the hair cyst is performed on an outpatient basis, under local anesthesia. The procedure takes about 1 hour. The patient leaves the Medical Center on its own and there is no need for hospitalization.
How long does it take to recover?
After the procedure, patients can return to their daily activities already the next day. The wound takes 4 to 6 weeks to heal. Basic wound hygiene is required during the healing period - daily disinfection and changing of dressings.
Are there any side effects?
There is always a risk for complications after any kind of treatment. Normal complications associated with the SiLaC procedure are postoperative wound infection (which may prolong the healing period), skin burn from laser temperature, or excessive wound exudate.