What is Pilonidal Sinus

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks near the tailbone, where they divide (the cleft). The sinus tract goes in a vertical direction between your buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected and filled with pus. A pilonidal sinus can go unnoticed unless it becomes infected. 

Pilonidal sinuses are more common in men because they tend to be hairier. Commonly found in teenagers and young adults. 

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Cause Pilonidal Sinus

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Although the root cause of pilonidal sinus is not clear, there are various factors that contribute to it. But most pilonidal cysts appear to be caused by loose hairs that penetrate the skin. Friction and pressure — skin rubbing against skin, tight clothing, bicycling, long periods of sitting, long riding or similar factors — force the hairs to grow into the skin rather than outward.

The body considers hair as foreign particles and creates a cyst around the hair. Family history and Obesity are 

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Symptoms Pilonidal Sinus

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Risk Pilonidal Sinus

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

  • Abscess formation

    Abscess formation- If not treated, this infection can lead to a cyst, and possibly into an abscess (pockets of infection) or a sinus (a cavity underneath the skin).

  • Recurrence of the pilonidal cyst

    Recurrence of the pilonidal cyst- The cysts may return because the area gets infected again or hair grows near the incision scar.

  • Systemic infection

    Systemic infection - If the abscess is ignored or spreads then the infection can spread throughout the body

  • Skin Cancer

    Skin Cancer - If a chronically infected pilonidal cyst isn't treated properly, you may be at slightly increased risk of developing a type of skin cancer called squamous cell carcinoma.

Advantage of Pilonidal Sinus Treatment

Advantage of Pilonidal Sinus Treatment over the Traditional Surgical Procedure.

Specifics Pilonidal Sinus Surgery Open Surgery
Cuts And Wounds   No   Yes
Pain   Painless   Painful
Recurrence   No   Yes
Diet Restrictions   No   Yes
Rest After Surgery   Can Resume Work   1-2 Month Rest
Invasive   Minimum   Large

Treatment Pilonidal Sinus

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.


Every year more than 1 million cases of Pilonidal sinus surfaces and patients suffer with the problem of recurrence due to either faulty diagnosis or improper surgery.  Pilonidal sinus requires a medical diagnosis clinical examination and rarely needs any specific laboratory or imaging tests. Our expert  will diagnose a pilonidal cyst by first doing a physical examination.  A pilonidal infection should be visible by the naked eye.

The doctor may see what looks like a pimple or oozing cyst. If infection is severe, blood tests may be performed for diagnosis. Doctor also ask you several questions, including:
•    Whether the cyst or pimple has changed in appearance
•    Whether it is draining fluid
•    Whether you have any other symptoms
Rarely, a CT scan or MRI may be ordered to look for sinus cavities under the surface of the skin

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A broad spectrum antibiotic that treats a wide range of bacteria may be used to treat pilonidal sinus, if diagnosed early.

It is useful if there is only mild pain and no inflammation or reddening.

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Surgery is needed to drain and remove a pilonidal cyst that does not heal. Our doctor may recommend below procedure if you have pilonidal disease that is causing pain or infection. A pilonidal cyst that is not causing symptoms does not need treatment.
Pilonidal Sinus treatment has been revolutionised over the years by arrival of new age ambulatory surgery or Day Care surgery is a clinical admission for a surgical procedure, with discharge of the patient on the same working day. We have a trained anesthesiologist, OT assistant, and nursing assistant do the advanced procedures like Laser and Flap surgeries. 
Dr Sandip Banerjee in many of the lectures that he has given and in his practice believes that there is no need in aggressively removing entire affected tissue up to tail bone bed. In this way the surgical principle of lowering the depth of natal cleft to prevent recurrence is not met. So the best way to remove as much affected tissue with Flap cover (W flap, Z plasty) in non-infected cases which not only reduces down post-operative morbidity but also completely cures the problem with relapses.

Laser Pilonidotomy is a new technique where ablation of the sinus tract is done by using radial laser fiber, one or two or maximum three 1 cm incisions are made to prevent collection of fluid and help efficient drainage, thus allowing faster wound healing with secondary intention with minimal recurrence rate.
Our patients and our surgeon will decide on the best anesthesia to use during the surgery. Choices include:
•    general anesthesia, which puts patients into a deep sleep throughout the surgery
•    Saddle block is a low dose of spinal anesthesia which involves medication that numbs your body from the waist down being delivered by a shot into your back
•    local anesthesia, which numbs only your anus and rectum

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•    Patient can expect rectal and anal pain after having pilonidal sinus surgery. So doctor will prescribe a painkiller to ease the discomfort.
•    Patient can help  in his/her own recovery by:
•    Avoid baths until the wound is completely healed. ... Avoid sitting for a long time or sitting on hard surfaces until your incision has healed. 

•    Eat a light diet with extra fluids as tolerated. Eat a well-balanced diet with extra fibre (like vegetables, bran, whole grain, breads to prevent constipation.
•    Avoid any activities that involve heavy lifting or pulling.
Although individual recovery times vary, many people can expect to make a full recovery within about 7 to 10 days. 

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Before & After

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

World's most advaned Pilonidal Sinus surgery for Pilonidal Sinus

Pelvic Care specializes in providing the best treatment for Pilonidal Sinus. With our own team of doctors, we deliver personalized care according to your medical needs. Our easy admission to discharge process and State of art infrastructure ensures a hassle free experience.

Why Pelvinic Care for Pilonidal Sinus?

Our team of experts is dedicated to offering excellent care to enhance your quality of life through a holistic healing approach and physical therapy. As a specialized one-stop daycare surgical solution, we take pride in dealing with various types of Proctological ailments with utmost attention and care.

Patient Care

Pelvinic is a specialized, team-based approach to support and care for individuals. We strive to provide a home-like environment and the best treatments for our patients for quick recovery. We offer customized services and personal attention to our patients who come for medical treatment and care. Our patient coordinator will receive reports on your condition and all the necessary information to continue your care following your discharge. Our belief is empowering and motivating you to lead a healthy life. Make the right decision today to become a healthier you tomorrow!


Our team of doctors, surgeons, and other healthcare professionals have been educated, trained and are widely experienced in their particular specialty. With India’s growing population, our doctors have a wider exposure to treating ailments and diseases and therefore are more skilled in providing the right treatments. Our doctors have a vast experience of over 50000 surgeries and are trained in the use of latest diode Laser technology.

Advance Technology

PELVINIC incorporates the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently. We focus on developing treatment plans as per each patient’s strengths, weaknesses, variety of motions and potential functioning. Our team is equipped with the latest painless techniques that lead to 100% customer satisfaction.


Pelvinic hospital offers the complete range of medical and surgical specialties to treat anal diseases under one roof, with highly experienced doctors, paramedical staff and state-of-the-art infrastructure. Our surgical daycare centre is ranked among the best of the best in Delhi (NCR). As we are the first-ever surgical daycare centre for pelvic disorders, we provide early mobilization, a home-like environment for quick recovery and preoperative investigations for our patients.

What We Do?

From giving OPD appointment to diagnose and prescribe surgery, Preoperative test to day-surgery to recovery stay and postoperative and diet instructions, we ensure to give our best of all to our patients without compromising at any stage of the treatment that too at a very cost-effective rate.
•    We have a dedicated staff to ensure your daycare stay is comfortable and hassle-free. Our staff will provide you with all the necessary assistance required such as appointment, priority admission, billing and discharge assistance like detailed summary of the hospitalization including health problems, examination findings, treatment given and procedures performed.
•    The contact details of the treating doctor and staff will be shared so that you and your medical practitioner can keep in touch with him/her post procedure.

Our Doctor

Dr. Sandip Banerjee

Consultant Laparoscopic Coloproctologist


With almost 15 years of experience and 5000+ surgeries, Dr. Sandip Banerjee is one of the finest award winning Laparoscopic Colorectal surgeons in Delhi/Ncr for ailments like piles, fistula, anal fissure and anal abscess, pilonidal sinus, anal & rectum cancer. He has particular specialist experience in complex abdominal wall hernias and a general surgical practice including laparoscopic hernia and gallstone surgery, anti-reflux surgery. He is considered to be the best surgeon in South Delhi because of the patients whom he has given a chance to a comfortable life without any pain or worry. He qualified from prestigious BJ Medical College, Pune. He obtained his post-graduation in General Surgery from National Board of examinations (DNB General Surgery). His main clinical interest is Colon and Bowel related diseases and the modern management of haemorrhoids and fistula. He got trained in Laparoscopic Colorectal Surgery from world class doctors Dr. Joel Leroy (France) and Dr. A Melany (Brazil) and AIIMS Delhi. With an interest in Gastro Intestinal cancer surgery, Dr Sandip completed two years fellowship in GI oncology under the leadership of Dr Adarsh Chaudhary from premier MEDANTA hospital Gurgaon. He also completed fellowship in Bariatric Surgery after this. He is currently working as a Head Laparoscopic and Colorectal Surgeon in Apollo Spectra, Kailash Colony New Delhi, and also associated with Rainbow Hospital, Fortis Hospital, National Heart Institute, Indraprastha Apollo Hospital Sarita Vihar and several other prime South Delhi Hospitals as a senior visiting consultant. His previous assignments were with MAX Smart Saket, Fortis Gurgaon, and Medanta Gurgaon. He has been awarded as INDIA’S BEST DOCTORS AWARD for the best laparoscopic surgeon in Delhi and Achievers Award by All India Achievers Association    

Patient Testimonial

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Mrs. Harpreet


A patient of Dr Sandip Banerjee got operated for her health related problem. Her family's previous experiences with healthcare service was like a nightmare and hence inspite of surgical diagnosed case she was not willing for surgery. With his assurance and counsellings, D Banerjee manages to convince her for the surgery, proving yet again the& PELVINIC'S approach& in caring patients which stand out different from others

Mis. Anita


45 year lady referred by physician was diagnosed to have one sided renal mass and was operated for radical surgery and the affected kidney removal by Dr Sandip Banerjee. She responded well discharged after 1 day from Hospital.

Patient from Nepal


Patient from Nepal came for gall bladder stone with underlying chronic liver disease and hence was made unfit for surgery. He was first managed to limit risks and then undergo ne Gall Bladder removal laparoscopically by Dr. Sandip Banerjee.

Mr. Abdullah


An Afghanistan National Patient smiling after undergoing laparoscopic surgery for gall bladder stone and inguinal hernia. Abdullah’s wife & son were also operated by Dr. Sandip Banerjee.

Frequently Ask Question

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Are there surgeries that can resolve my constipation?

Surgery is always a last resort. Most constipation can be resolved with diet, lifestyle changes and laxative therapy. Surgery is recommended if you have a slow moving colon that has failed all medical treatments or if you have a structure blocking the way that is causing your constipation. Structures blocking the way of stool moving through the anal canal can also be lifted by strengthening the pelvic floor through physical therapy.

How can physical therapy help constipation?

If the muscles of the pelvic floor are not working properly, then physical therapy (PT) will help to retrain those muscles. We are not used to having to think about muscles of the pelvic floor. PT assists you in connecting the mind and body to enable these muscles to work properly when having a bowel movement. PT can also help with strengthening muscles and to decrease spasm.

What testing is appropriate to evaluate constipation?

There are a variety of tests for constipation offered at the University of Michigan Medical Procedures Unit. Testing may include a colonoscopy, anal-rectal manometrics, the Smart pill wireless motility capsule or defecography. These are specialized tests that evaluate the colon for any structural problems or problems with muscle function that may be contributing to constipation.

Are there different types of constipation?

There are four types of constipation:
*         Diet and Medication Controlled Constipation: The colon moves stool along within 24 -72 hours. The muscles of the pelvic floor move properly. Usually, most people respond to fiber or laxative treatment.
*         Dysynergic Constipation:The muscles of the pelvic floor do not work properly and may even perform the opposite function of what they are supposed to do. Sometimes muscles are in spasm. Patients usually complain of not being able to fully empty or having to use their fingers to pass stool. Dysynergic constipation may be coupled with an outlet obstruction. An outlet obstruction is where a structure such as a rectocele or enterocele is in the way of stool coming out.
*         Slow Transit Constipation: The colon moves slowly, as a result, bowels move very infrequently sometimes only  once every 2-3 weeks.
*         Combined dysynergic and slow transit constipation.

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