✦ ENDOSCOPIC PILONIDAL SURGERY

EPSiT

Q: How is EPSiT different from open pilonidal surgery?

EPSiT uses a tiny endoscope inside the tract for direct visualisation and treatment, without any large external wound. Recovery is significantly faster and the cosmetic outcome is excellent.

Q: Is EPSiT suitable for everyone?

It is best for primary or moderate disease. Very extensive or chronically recurrent pilonidal sinus may need definitive flap procedures for the best long-term result.

Q: Will pilonidal sinus come back after EPSiT?

Success rates are around 85% in well-selected cases. If recurrence occurs, repeat EPSiT or another technique can be considered. Good hygiene and hair removal in the area further reduce recurrence.

Q: How quickly will I recover?

Most patients return to office work in 2–3 days and resume normal activities within a week. The absence of a large wound makes recovery far more comfortable.

Endoscopic Pilonidal Sinus Treatment — a tiny camera is used inside the sinus tract to clean and treat it from within, with no large external wounds and remarkably quick recovery.

30–60 min PROCEDURE

Day Care HOSPITAL STAY

>85% SUCCESS RATE

2–3 Days RETURN TO WORK

What is EPSiT?

EPSiT (Endoscopic Pilonidal Sinus Treatment) is a modern, minimally invasive technique for pilonidal disease that uses a tiny endoscope inserted directly into the sinus tract. Under high-definition video visualisation, all hair, debris and unhealthy granulation tissue are cleaned, and the tract walls are gently treated with electrocautery — without any large external wound. Dr. Tejasree Vengala performs EPSiT at Lux Hospitals, Hyderabad, offering a precise, gentle, sphincter-sparing alternative to traditional pilonidal surgery in carefully selected patients.

Suitable for patients with primary or moderate pilonidal sinus disease, especially those wanting a minimally invasive option with quick recovery and no large external wound.

How the Procedure Works

Anaesthesia & Equipment Setup

Surgery is performed under spinal or short general anaesthesia. The video endoscope is set up with proper irrigation.

Endoscopic Inspection

A tiny endoscope is gently passed through the sinus opening, providing direct high-definition visualisation of the entire tract.

Hair & Debris Removal

All trapped hair, debris, and granulation tissue are gently removed under direct vision using specialised endoscopic instruments.

Tract Treatment

The walls of the sinus tract are treated with monopolar electrocautery to support healing and prevent recurrence.

Dressing & Recovery

A simple dressing is applied. Most patients are discharged the same day with sitz baths and quick return to office work.

Outcomes

30–60 minDURATION

Day CareHOSPITAL STAY

>85%SUCCESS RATE

2–3 WeeksFULL HEALING

Who Needs This Treatment?

→Direct visualisation of the entire sinus tract
→No large external wounds
→Day-care procedure with same-day discharge
→Quick return to office work in 2–3 days
→Excellent cosmetic outcome
→All other treatments remain available if needed

EPSiT lets us see inside the sinus and treat exactly what we find — every pocket, every branch, every hidden hair. The patient avoids a large wound and weeks of dressings, and most return to work within days.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

How is EPSiT different from open pilonidal surgery?+

Is EPSiT suitable for everyone?+

Will pilonidal sinus come back after EPSiT?+

How quickly will I recover?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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