Surgical treatment of pilonidal disease with the use of «closed» techniques
https://doi.org/10.24884/0042-4625-2022-181-2-33-38
Abstract
The OBJECTIVE was to evaluate long-term results of the use of «closed» techniques of surgical treatment of pilonidal disease.
METHODS AND MATERIALS. The study included 147 patients who underwent excision of the pilonidal sinuses according to Karydakis – 28 and excision of the pilonidal sinuses with mobilization of the gluteal fascia – 89, laser obliteration using Filac Fistula Probe – 30 patients. To assess the long-term results, a questionnaire survey of patients, a face-to-face examination and ultrasound of the soft tissues of the postoperative scar area, statistical data processing were carried out.
RESULTS. By primary intention, wounds healed in 91.4 % of patients. Complications were observed in 10 (8.5 %) patients: postoperative wound seromas – 8, wound hematoma – 1, postoperative wound suppuration – 1. After mobilization of the gluteal fascia, recurrence of the disease was established in 4 (4.4 %) patients, after obliteration with the use of laser energy and Filac Fistula Probe – in 4 (13.3 %) patients. No relapse was diagnosed after Karydakis procedure.
CONCLUSIONS. Operations using «closed» techniques are effective methods of surgical treatment of pilonidal disease. At the same time, there is a low percentage of complications, relapses of the disease and a short period of rehabilitation.
About the Authors
I. A. Nechai
St Petersburg University
Russian Federation
Competing Interests:
Russian Federation
Nechai Igor A. - Dr. of Sci. (Med),, Professor of the Department of Postgraduate Medical Education of the Faculty of Medicine
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. A. Bozhchenko
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Bozhchenko Andrei A. - Cand. of Sci. (Med), Associate Professor of the Department of Skin and Venereal Diseases
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
N. P. Maltcev
City hospital № 40 of the Kurortny district
Russian Federation
Competing Interests:
Russian Federation
Maltcev Nikolai P. - Head of the Department of Coloproctology
9, Borisova str., Sestroretsk, Saint Petersburg, 197706
Competing Interests:
The authors declare no conflict of interest
V. А. Vetochkin
St Petersburg University
Russian Federation
Competing Interests:
Russian Federation
Vetochkin Vyacheslav А. - Clinical Resident of the Department of Postgraduate Medical Education of the Faculty of Medicine
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
M. Yu. Yakunina
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Competing Interests:
Russian Federation
Yakunina Marianna Yu. - Clinical Resident of the Department of Operative and Clinical Surgery with Topographic Anatomy named after S. A. Simbirtsev
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
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For citations:
Nechai I.A., Bozhchenko A.A., Maltcev N.P., Vetochkin V.А., Yakunina M.Yu. Surgical treatment of pilonidal disease with the use of «closed» techniques. Grekov's Bulletin of Surgery. 2022;181(2):33-38. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-2-33-38
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