WHAT IS SINUS ASSISTED LASER CLOSURE (SILaC)?

• The procedure is similar to the "pit picking" procedure. It involves using a circular knife to core-out the epithelialized pits and then remove any hairs and infected tracks using a curette.

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• This is followed by introducing a laser probe through the pits from one end to the other and activating the laser to emit controlled laser energy to burn all hair and infected tracks left behind.

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• The laser fiber is introduced again to create a coagulum that seals the tracks and the pits.

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• The procedure is done under local anesthesia in an office setting.

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• The wounds might have shallow pieces of ribbon packing that can be removed in 24 hours.

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• Patient can shower in 24 hours after the procedure but no soaking/swimming till the wounds close.

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• The openings take about 4-6 weeks to close.

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• Patients are prescribed antibiotics for 10 days.

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• Pain is minimal and can be managed with over-the-counter medications.

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• Recovery is quick as all patients can resume daily regular activities right away after the procedure.

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• There are no scars and the open wounds are usually very small.

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• Patients are to avoid scooting, squatting and bending over for 2-3 weeks.

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• This procedure has been widely adopted in Europe for at least 3 decades and has recently been introduced to the US.

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• The results published in European literature are promising citing a success rate of 85-92%.

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• This procedure is not for all patients. Dr. Wadie offers the procedure to patients with minimal disease who meet certain selection criteria. Please check with him if you are a candidate.

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• This procedure is not suitable for patients with recurrence after surgery, those with large open wounds and patients with disease extending close to the anus.

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• For the time being, the procedure is not covered by insurance companies.

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