Excision with Open Healing
Wide surgical excision of the entire pilonidal sinus with the wound left open to heal by secondary intention - a reliable conventional technique with lower wound infection rates than primary midline closure.
What is Excision with Open Healing?
Excision with Open Healing involves surgically removing the entire pilonidal sinus - all pits, tracts, and involved tissue - and leaving the resulting wound open to heal by granulation tissue from the base upward. Unlike flap procedures, no attempt is made to close the wound primarily.
Dr. Samhitha Reddy performs excision with open healing at Lux Hospitals, Hyderabad for selected uncomplicated primary pilonidal sinuses. While healing takes 6-8 weeks and requires daily wound dressings, wound breakdown and infection rates are lower than primary midline closure - providing a reliable option for straightforward first-time sinuses as part of the pilonidal sinus treatment in Hyderabad programme.
Open healing has a longer recovery time (6-8 weeks) and higher recurrence rate than flap procedures. For complex, recurrent, or extensive disease, flap reconstruction (Karydakis, Bascom, Limberg) is strongly preferred.
How the Procedure Works
Wide Excision
All sinus pits, tracts, and involved tissue are excised as an ellipse down to the presacral fascia - ensuring all hair-containing tissue is removed.
Wound Inspection
The wound cavity is inspected for complete excision. Haemostasis achieved with electrocautery.
Wound Packing
The wound is packed with a non-adherent dressing to absorb discharge and maintain a moist healing environment.
Wound Care
Wound dressings changed daily or every 2 days as needed. Most patients manage dressing changes at home. Sitz baths maintain hygiene.
Healing Completion
The wound heals from the base upward over 6-8 weeks. Dr. Samhitha reviews at regular intervals to confirm healthy granulation and progression to full healing.
Outcomes
Who Needs This Treatment?
- →Lower wound infection rate than primary midline closure
- →No flap complications - straightforward wound management
- →Can be performed as a day-care procedure under local or general anaesthesia
- →Reliable for simple primary pilonidal sinuses without prior surgery
- →Daily wound dressings often managed at home - no prolonged hospital stay
- →Available at Lux Hospitals, Hyderabad with comprehensive wound care guidance
Open healing is the workhorse of pilonidal sinus surgery - uncomplicated in execution, reliable in infection rates, and requiring no flap design skills. For the right patient with a straightforward first-time sinus, it remains a valid, time-tested option.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Excision with Open Healing Cost in Hyderabad
The cost of excision with open healing in Hyderabad depends on the extent of pilonidal disease, severity of infection, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients with extensive or infected pilonidal disease, the approximate cost of excision with open healing ranges between ₹30,000 and ₹60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Excision with Open Healing | ₹30,000 – ₹60,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Excision with Open Healing Cost
The overall cost may depend on:
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Extent of pilonidal disease: The size of the affected area, number of sinus tracts, severity of infection, and presence of recurrent disease may influence the treatment approach.
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Pre-operative evaluation: Required investigations, clinical examination, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as abscess drainage, removal of infected tissue, or other pilonidal sinus treatments are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, wound dressing, medicines, and follow-up requirements may influence the final estimate.
Is Excision with Open Healing Covered by Insurance?
Excision with open healing may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether excision with open healing is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.