Conventional Surgical Options

  • Wide Excision: This procedure involves removing large chunks of flesh to target the diseased tract.

  • Open Wound Healing: Following an excision, the wound is left open to heal from the inside out. This approach is a marathon that requires intense daily packing of open wounds and tracking daily changes.

  • Closed Wound Healing: Instead of leaving it open, the surgeon stitches the wound closed immediately after the excision.

  • Cleft Lift: This surgical flap procedure is designed to reshape the gluteal cleft and move the incision off the midline to promote better healing.

  • EPSiT (Endoscopic Pilonidal Sinus Treatment): This is a minimally invasive endoscopic procedure where a tiny camera is used to clean and treat the sinus tract.