EPSiT (Endoscopic Pilonidal Sinus Treatment)
A minimally invasive endoscopic technique that destroys the pilonidal sinus tract under direct vision - small wounds, fast recovery, effective ablation. Available at selected specialist centres in Hyderabad.
What is EPSiT (Endoscopic Pilonidal Sinus Treatment)?
EPSiT (Endoscopic Pilonidal Sinus Treatment) is a minimally invasive technique that uses a small rigid videoscope to inspect the pilonidal sinus cavity under direct vision, followed by ablation of the sinus epithelium using electrocautery or laser energy. Hair and debris are removed under direct visualisation - treating all disease without the need for wide excision. Dr. Samhitha Reddy offers EPSiT at selected specialised centres in Hyderabad as part of the laser treatment for pilonidal sinus programme. Published success rates of 70-85%, combined with small external wounds and recovery in 2-3 weeks, make EPSiT one of the most appealing minimally invasive pilonidal sinus treatment options near patients seeking laser pilonidoplasty in Hyderabad.
How the Procedure Works
Pre-procedure Assessment
The pilonidal sinus anatomy is assessed. All active infection is resolved via prior drainage if needed.
Endoscope Introduction
The EPSiT videoscope is inserted through the main sinus opening under irrigation - providing clear, magnified visualisation of the entire sinus cavity.
Diagnostic Phase
All pit openings, hair, secondary tracts, and cavity extent are mapped under direct endoscopic vision.
Ablation Phase
The sinus epithelium is ablated using electrocautery or laser energy through the endoscope's working channel. Hair is extracted with forceps under direct vision.
Wound Management
The pit openings are excised or marsupialized. No large excisional wound. Return to work in 2-3 weeks. Laser hair removal advised from 4 weeks.
Outcomes
Who Needs This Treatment?
- →Direct endoscopic visualisation - all hair, secondary tracts, and cavities treated under vision
- →Minimal wounds - no large excisional defect requiring flap closure
- →Faster recovery than open excision - return to work in 2-3 weeks
- →Suitable for selected primary and recurrent cases
- →Combined with laser ablation for comprehensive epithelial destruction
- →Available at selected specialist centres in Hyderabad - contact Lux Hospitals for current availability
EPSiT brings the clarity and confidence of direct endoscopic vision to pilonidal sinus treatment. Seeing exactly what we are ablating - every hair, every secondary pocket - and treating it all through a minimal wound is a compelling advance over blind conventional approaches.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.