Laser Pilonidoplasty (LPP)
SiLaC / LPP — laser closure of pilonidal sinus from inside with a 2–3mm wound, no excision, and return to work in days.
About This Treatment
Laser Pilonidoplasty (LPP), also called SiLaC (Sinus Laser Closure), is the most minimally invasive treatment available for pilonidal sinus. A radial-firing laser fiber is inserted through the sinus opening and slowly withdrawn, delivering 360-degree laser energy that destroys the sinus lining from inside — no excision required.
The external wound is just 2–3mm (the size of the laser fiber entry). There is no large wound to pack, no stitches to remove, and patients return to sitting, driving, and desk work within 3–5 days. LPP is the ideal first choice for primary, uncomplicated pilonidal sinuses.
At Shraddha Hospital, we combine LPP with laser hair removal of the pilonidal area for the lowest possible recurrence rate.
Key Benefits
Tiny 2–3mm Wound
No wide excision — just the laser fiber entry point. No stitches, no packing.
Back in 3–5 Days
Most patients return to desk work within 3–5 days and driving within a week.
Zero Wound Packing
No daily dressing changes required — a significant quality-of-life advantage over open surgery.
Why Choose This Treatment?
| Feature | This Treatment | Traditional |
|---|---|---|
| Wound Size | check2–3mm (LPP) | 5–10cm (Open) |
| Daily Packing | checkNot Required | 6–12 Weeks Required |
| Return to Work | check3–5 Days | 4–8 Weeks |
| Sitting Comfort | checkWithin Days | 4–6 Weeks |
Before Treatment
- 01
Ultrasound or MRI to confirm a simple sinus without complex branching.
- 02
Active abscess must be drained 3–4 weeks before LPP.
- 03
Shave or laser hair remove the pilonidal area as instructed.
- 04
Local anesthesia applied — no general anesthesia required for most cases.
After Treatment
- 01
Keep the tiny wound clean — simple cleansing once daily.
- 02
Avoid prolonged sitting for the first 3–5 days.
- 03
Laser hair removal is recommended at 4–6 weeks post-LPP to prevent hair-related recurrence.
- 04
Follow-up at 1 week and 1 month post-procedure.
Frequently Asked Questions
Heal Pilonidal Sinus in Days, Not Months
LPP is the most advanced, least invasive pilonidal sinus treatment available. Don't let a large wound hold you back — book a consultation.