A new method for wound defect closure after pilonidal sinus excision
https://doi.org/10.33878/2073-7556-2024-23-1-129-135
Abstract
AIM: to evaluate the efficacy of original method for pilonidal sinus (PS) treatment.
PATIENTS AND METHODS: a randomized study included 100 patients with PS in the chronic stage at the State Budgetary Healthcare Institution Research Institute-KKB No. 1, Department of Purulent Surgery from January 2021 to January 2023. In the main group, excision of the pilonidal sinus was performed with plastic closure of the wound defect of the sacrococcygeal region according to RU patent No. 2751821 from 07/19/21. The control group included patients with Bascom II (cleft lift). There were no significant differences in age (p = 0.355), BMI (p = 0.467), gender distribution (p = 1.0), recurrence rate (p = 0,204).
RESULTS: the operation time in the main group was longer (p < 0.001), which is associated with a surgical technique. Post-op stay (p = 0.027), the morbidity (p = 0,028) in the main group was significantly lower. The complications rate reduced to 4%, and the recurrence rate to 2%. It was possible to avoid re-operations.
CONCLUSION: the original method for wound closure after PS excision is simple and reliable.
About the Authors
E. N. Shubrov
Ochapovsky Regional Clinical Hospital No. 1 Krasnodar; Kuban State Medical University (Mitrofanа Sedina st., 4, Krasnodar, 350063
Russian Federation
Russian Federation
1 Maya st., 167, Krasnodar, 350086
Mitrofanа Sedina st., 4, Krasnodar, 350063
A G. Baryshev
Ochapovsky Regional Clinical Hospital No. 1 Krasnodar; Kuban State Medical University
Russian Federation
Russian Federation
1 Maya st., 167, Krasnodar, 350086
Mitrofanа Sedina st., 4, Krasnodar, 350063
K. V. Triandafilov
Ochapovsky Regional Clinical Hospital No. 1 Krasnodar
Russian Federation
Russian Federation
1 Maya st., 167, Krasnodar, 350086
References
1. Sergatskiy K.I., Nikol'skiy V.I., Yangurazov R.F., et al. Surgical aspects of the treatment of epithelial pilonidal cyst: from primary sources to the present (a review of literature). Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2022;(2):92-106. (In Russ.). doi:10.21685/2072-3032-2022-2-10
2. Shiffman MA. History and General Information on Pilonidal Cysts and Sinuses. In Shiffman M.A., Low M. editors. Recent Clinical Techniques, Results, and Research in Wounds. Springer International Publishing. 2017; p.161-167. DOI:10.1007/15695_2017_7
3. Nechai I.A., Maltcev N.P. Minimally invasive methods in treatment of pilonidal disease (review of the literature). Grekov’s Bulletin of Surgery. 2019;178(3):69–73. (In Russ.). doi: 10.24884/0042-4625-2019-178-3-69-73
4. Albabtain IT, Alkhaldi A, Aldosari L, et al. Pilonidal sinus disease recurrence at a tertiary care center in Riyadh. Ann Saudi Med. 2021; 41(3):179–185. DOI: 10.5144/0256-4947.2021.1799
5. Giordano P, Schembari E, Keshishian K, et.al. Negative pressure-assisted endoscopic pilonidal sinus treatment. Tech Coloproctol. 2021; 25(6):739-743. DOI: 10.1007/s10151-021-02431-w
6. Nechai I.A., Bozhchenko A.A., Maltcev N.P. et al. Surgical treatment of pilonidal disease with the use of «closed» techniques. Grekov’s Bulletin of Surgery. 2022;181(2):33–38. (In Russ.). doi: 10.24884/0042-4625-2022-181-2-33-38
7. Bi S, Sun K, Chen S, et al. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Sci Rep. 2020; 10(1): 13720. DOI: 10.1038/s41598-020-70641-7
8. Tenzin Lamdark, Raphael Nicolas Vuille-dit-Bille, Isabella Naomi Bielicki, et al. Treatment Strategies for Pilonidal Sinus Disease in Switzerland and Austria. Medicina. 2020; 56: 341. doi:10.3390/medicina56070341
9. Zolotuhin DS, Sergijko SV, Krochek IV. Sovremennye metody lechenija jepitelial'nogo kopchikovogo hoda. Tavricheskij mediko-biologicheskij vestnik. 2021; 24(1): 80-88. (InRuss.). doi: 10.37279/2070-8092-2021-24-1-80-88
10. Harabet E.I., Groshilin V.S., Porojskij S.V., et.al. Rezul'taty vnedrenija novogo dvuhjetapnogo metoda lechenijaj epitelial'nogo kopchikovogo hoda. Vestnik volgogradskogo gosudarstvennogo medicinskogo universtiteta. 2022; 19(3):115-120. (In Russ.). doi: 10.19163/1994-9480-2022-19-3-115-120
11. Iesalnieks I, Ommer A, Petersen S, et al. German national guideline on the management of pilonidal disease. Langenbecks Arch Surg. 2016; 401(5): 599–609. DOI: 10.1007/s00423-016-1463-7
12. Stauffer VK, Luedi MM, Kauf P, et al. Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence. Sci Rep. 2018; 8(1): 3058. DOI: 10.1038/s41598-018-20143-4
13. Alvandipour M, Zamani MS, Ghorbani M, et al. Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients With Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study. Ann Coloproctol. 2019; 35(6): 313–318. DOI: 10.3393/ac.2018.09.27
14. Boshnaq M, Phan YC, Martini I, et al. Limberg flap in management of pilonidal sinus disease: systematic review and a local experience. Acta Chir Belg. 2018; 118(2): 78–84. DOI: 10.1080/00015458.2018.1430218
Review
For citations:
Shubrov E.N., Baryshev A.G., Triandafilov K.V. A new method for wound defect closure after pilonidal sinus excision. Koloproktologia. 2024;23(1):129-135. https://doi.org/10.33878/2073-7556-2024-23-1-129-135
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