THE RESULTS OF OWN-STAGE SURGICAL TREATMENT OF PATIENTS WITH ACUTE PILONIDAL SINUS DISEASE

Authors:

Abstract:

The results of radical surgical treatment of 174 patients with acute pilonidal abscess who were treated by urgent radical operation are presented in the article. 26 (14.9%) patients were conducted with wide excision and marsupialization of wound. 31 (17.8%) patients were treated by wide excision and wound closure by vertical U-type multi-stitch sutures. 29 (16.7%) patients were conducted with wide excision and wound closure by U-type horizontal («turnstile») sutures. 34 (19.5%) patients were treated by Bascom’s I operation. 54 (31.0%) patients were treated by proposed ultrasound curettage of pilonidal sinus. The results of treatment patients follow from 1 to 3 years. The patients with acute pilonidal abscess after operation have such complications: 56 (32.2%) patients have wound abscess, 19 (10.9%) patients have primary wound dehiscence, 24 (13.8%) patients have secondary wound dehiscence, 14 (8.0%) patients have wound hematoma, 19 (10.9%) patients have recurrent of disease. Patients who were treated by Bascom's I operation and ultrasound curettage pilonidal sinus have authentically less (P = 0.02) cases recurrent of disease and noninflammatory complications. The using of low-traumatic surgical methods (Bascom's I operation, ultrasound curettage pilonidal sinus) permit to authentically decrease (P = 0.02) frequency of postoperative complications and recurrent of pilonidal disease.

Keywords:

acute pilonidal abscess pilonidal sinus disease radical surgical treatment Bascom's I operation ultrasound curettage

References:

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Publication:

«World of Medicine and Biology» Vol. 9 No. 42 (2013) , с. 57-61
УДК 611.711.8:616.315.3-002.3-089: 615.837.3