COMPREHTNSIVE APPROACH TO PILONIDAL SINUS TREATMENT

Purpose: to improve results of treatment of patients with pilonidal sinus by developing and implementing of some modifications of operationsMatherials and methods: 267 patients with different clinical forms of pilonidal sinus were underwent surgical treatment. A new treatment strategy and some modif...

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Bibliographic Details
Main Authors: P. M. Lavreshin, V. K. Gobedzishvili, S. S. Korablina, V. V. Gobedzishvili, O. V. Vladimirova, H. M. Baichorov
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2014-12-01
Series:Медицинский вестник Юга России
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Online Access:https://www.medicalherald.ru/jour/article/view/17
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Summary:Purpose: to improve results of treatment of patients with pilonidal sinus by developing and implementing of some modifications of operationsMatherials 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.
ISSN:2219-8075
2618-7876