gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2022-21-1-99-106gnck-1684Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWВакуумная терапия ран после хирургического лечения эпителиального копчикового хода (обзор литературы)Vacuum-assisted wound therapy after surgical treatment of pilonidal sinus (review)https://orcid.org/0000-0001-7877-5963ГорбуновИ. Н.GorbunovI. N.

Горбунов Илья Николаевич — врач-колопроктолог

111539, г. Москва, ул. Вешняковская, д. 23

111539, Moscow, Veshnyakovskaya str., 23

https://orcid.org/0000-0002-1387-9363ЕгоркинМ. А.EgorkinM. A.

Егоркин Михаил Александрович — доктор медицинских наук, старший научный сотрудник

123423, г. Москва, ул. Саляма Адиля, д. 2

123423, Moscow, Salyama Adilya str., 2

mixail1518@mail.ruБолквадзеЭ. Э.BolkvadzeE. E.

Болквадзе Этери Энверовна — доктор медицинских наук, заведующая колопроктологическим отделением

111539, г. Москва, ул. Вешняковская, д. 23

111539, Moscow, Veshnyakovskaya str., 23

ОбуховВ. К.ObukhovV. K.

Обухов Виктор Константинович — кандидат медицинских наук, доцент, заведующий учебной частью кафедры колопроктологии

125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1

125993, Moscow, Barricadnaya str., 2/1-1

ВечоркоВ. И.VechorkoV. I.

Вечорко Валерий Иванович — кандидат медицинских наук, доцент, главный врач

111539, г. Москва, ул. Вешняковская, д. 23

111539, Moscow, Veshnyakovskaya str., 23

ГБУЗ ГКБ №15 им. О.М. Филатова ДЗМРоссияO.M. Filatov City Clinical Hospital No 15Russian FederationФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава РоссииРоссияRyzhikh National Medical Reserch Center of ColoproctologyRussian FederationФГБОУ ДПО РМАНПО Минздрава РоссииРоссияRussian Medical Academy of Postgraduate EducationRussian Federation20222103202221199106Copyright © Горбунов И.Н., Егоркин М.А., Болквадзе Э.Э., Обухов В.К., Вечорко В.И., 20222022Горбунов И.Н., Егоркин М.А., Болквадзе Э.Э., Обухов В.К., Вечорко В.И.Gorbunov I.N., Egorkin M.A., Bolkvadze E.E., Obukhov V.K., Vechorko V.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1684

Наиболее радикальным методом лечения эпителиального копчикового хода остаётся хирургический, приводящий к формированию длительно незаживающих ран в крестцово-копчиковой области. Применение вакуумной терапии, по данным литературы, положительно влияет на скорость заживления ран и снижает частоту послеоперационных осложнений. В связи с отсутствием до настоящего времени крупных рандомизированных исследований, позволяющих четко определить алгоритм лечения и показания к проведению данной методики, возникает необходимость дополнительного изучения эффективности этого метода.

The most effective method of pilonidal sinus treatment is surgery, which usually leads to the prolonged healing wounds in the sacrococcygeal area.According to the scientific sources, the use of vacuum-assisted wound therapy positively affects wound healing rate and decreases the postoperative morbidity rate. However, the lack of adequately powered and well-conducted RCTs, which could clearly define the treatment approach and indications, drives the necessity for further studies.

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The authors declare that there are no conflicts of interest present.