COMPREHTNSIVE APPROACH TO PILONIDAL SINUS TREATMENT
https://doi.org/10.21886/2219-8075-2014-4-64-69
Abstract
Purpose: to improve results of treatment of patients with pilonidal sinus by developing and implementing of some modifications of operations
Matherials and methods: 267 patients with different clinical forms of pilonidal sinus were underwent surgical treatment. A new treatment strategy and some modification of operations are studied.
Results and Summary: it’s necessary to identify risk groups of excessive (pathological) scarring and administer antiscarring treatment among the patients with pilonidal sinus. It is shown that such a treatment strategy has significantly improved the patients outcome with pilonidal sinus: the number of relapses reduced from 8,1% to 2,4%;discomfort phenomenon as a result of rough scar deformation in the sacrococcygeal region from 21,8% to 7,3%; number of patients with persistent recovery increased from 91,9% to 95,3%;time of hospital cure reduced in the main group in average:a stage without inflammation on 1,7 b/d(bad day), in remission stage – 2,1 b/d; in the stage of chronic inflammation – 2,6 b/d.
Matherials and methods: 267 patients with different clinical forms of pilonidal sinus were underwent surgical treatment. A new treatment strategy and some modification of operations are studied.
Results and Summary: it’s necessary to identify risk groups of excessive (pathological) scarring and administer antiscarring treatment among the patients with pilonidal sinus. It is shown that such a treatment strategy has significantly improved the patients outcome with pilonidal sinus: the number of relapses reduced from 8,1% to 2,4%;discomfort phenomenon as a result of rough scar deformation in the sacrococcygeal region from 21,8% to 7,3%; number of patients with persistent recovery increased from 91,9% to 95,3%;time of hospital cure reduced in the main group in average:a stage without inflammation on 1,7 b/d(bad day), in remission stage – 2,1 b/d; in the stage of chronic inflammation – 2,6 b/d.
About the Authors
P. M. Lavreshin
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
V. K. Gobedzishvili
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
S. S. Korablina
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
V. V. Gobedzishvili
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
O. V. Vladimirova
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
H. M. Baichorov
Stavropol State Medical University
Russian Federation
Department of General Surgery
Russian Federation
Department of General Surgery
References
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Review
For citations:
Lavreshin P.M., Gobedzishvili V.K., Korablina S.S., Gobedzishvili V.V., Vladimirova O.V., Baichorov H.M. COMPREHTNSIVE APPROACH TO PILONIDAL SINUS TREATMENT. Medical Herald of the South of Russia. 2014;(4):64-69. (In Russ.) https://doi.org/10.21886/2219-8075-2014-4-64-69
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