Excision with Open Healing
Complete surgical removal of the pilonidal sinus with the wound left open to heal naturally from the inside out — minimises recurrence with structured wound care.
What is Excision with Open Healing?
Excision with Open Healing is a well-established technique for pilonidal sinus disease in which all diseased tissue is completely excised and the wound is intentionally left open to heal naturally from the inside out. While healing takes longer than primary closure, this approach has the advantage of minimising recurrence by allowing complete healing without trapped pockets. Structured wound care, regular dressings and hygiene are essential to good outcomes. Dr. Tejasree Vengala performs excision with open healing at Lux Hospitals, Hyderabad, in selected patients where it offers the most reliable long-term result.
How the Procedure Works
Anaesthesia & Examination
Surgery is performed under spinal or general anaesthesia. The full extent of the disease is mapped using probes and methylene blue if needed.
Wide Excision
The entire pilonidal sinus, all tracts, and surrounding unhealthy tissue are excised completely down to healthy fat or fascia.
Wound Inspection
The wound is carefully inspected to ensure no diseased tissue is left behind, and any small bleeding points are controlled.
Open Wound Management
The wound is left open and packed with a simple dressing. Patients are given clear instructions on dressings and sitz baths.
Discharge & Wound Care
Most patients are discharged the same day or next, with structured outpatient wound care visits over the healing period.
Outcomes
Who Needs This Treatment?
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Lower recurrence than midline primary closure
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Complete removal of all diseased tissue
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Day-care or short-stay surgery
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Allows healing without trapped pockets
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Reliable option in moderately infected cases
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Predictable long-term outcomes with good wound care
Open healing is patient and slow, but it is honest — every layer of the wound heals on its own, with nothing hidden. For carefully selected patients who commit to good wound care, it gives durable, predictable results.
— — Dr. Tejasree Vengala, 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 and complexity of pilonidal disease, the size and location of the sinus, the number of sinus tracts, the presence of infection or abscess, the investigations required, and the care needed before and after surgery.
For patients requiring excision of pilonidal sinus with the wound left open for healing, the approximate cost ranges between ₹35,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Excision with Open Healing | ₹35,000 – ₹70,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of disease, 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, number of sinus tracts, presence of infection or abscess, and recurrence may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If abscess drainage, sinus tract excision, or other procedures are required along with excision, the cost may vary.
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Wound care and follow-up: Since the wound is allowed to heal gradually, dressing requirements, wound care, medicines, and follow-up visits 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 pilonidal 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 surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether excision with open healing is suitable for you. She will explain the procedure, expected recovery, wound-care requirements, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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