Excision with Primary Closure
Complete surgical removal of the pilonidal sinus followed by direct closure of the wound — single-stage procedure with quicker recovery in carefully selected cases.
What is Excision with Primary Closure?
Excision with Primary Closure is a single-stage technique for pilonidal sinus in which all diseased tissue is excised and the wound is sutured closed directly. While faster healing is the main advantage, this technique has higher recurrence rates than off-midline flap procedures, and is therefore reserved for selected primary cases with limited disease. Dr. Tejasree Vengala carefully evaluates each patient at Lux Hospitals, Hyderabad, and recommends primary closure only when it offers the best balance of recovery and long-term outcome.
How the Procedure Works
Anaesthesia & Examination
Surgery is performed under spinal or general anaesthesia. The disease is mapped using probes.
Sinus Excision
The entire pilonidal sinus and surrounding unhealthy tissue are excised completely down to healthy fat or fascia.
Haemostasis
Any bleeding points are carefully controlled to prevent post-operative haematoma.
Layered Closure
The wound is closed in layers with absorbable sutures for the deeper tissue, and skin closed with absorbable subcuticular sutures.
Discharge & Recovery
A simple dressing is applied. Most patients are discharged the same day or next with simple wound care instructions.
Outcomes
Who Needs This Treatment?
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Single-stage procedure with quicker recovery
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Day-care or short-stay surgery
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Faster return to office work
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Simpler wound care than open healing
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Suitable for select limited primary disease
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Avoids weeks of dressings
Primary closure has its place — but only in carefully chosen patients with limited disease and favourable anatomy. Recurrence is the real enemy in pilonidal disease, and choosing the right operation for the right patient is what protects them long term.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Excision with Primary Closure Cost in Hyderabad
The cost of excision with primary closure 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 followed by primary wound closure, the approximate cost ranges between ₹40,000 and ₹80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Excision with Primary Closure | ₹40,000 – ₹80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of disease, surgical technique used, and whether any additional procedures are required.
Factors That Influence Excision with Primary Closure 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 primary closure, the cost may vary.
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Hospital stay and wound care: The duration of admission, medicines, dressing requirements, wound monitoring, and follow-up visits may influence the final estimate.
Is Excision with Primary Closure Covered by Insurance?
Excision with primary closure 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 primary closure 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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