Multimodal Approach to the Prevention of Complications in the Treatment of Pilonidal Fistula Complicated by Fistulas in the Gluteal-Sacrococcygeal Region

Lavreshin, Peter; Гобеджишвили, В К; Гобеджишвили, В В; Gorbunkov, V. Ya.; Omarova, Anzhelika; Жерносенко, А О; Safarov, N.V.

doi:10.25881/bpnmsc.2019.59.39.016

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Основным методом лечения является хирургический, включающий в себя: иссечение пилонидальной кисты с различными вариантами закрытия раневого дефекта (открытое ведение раны, частичное ушивание, применение различных видов пластик типа Каридакиса, Баском) [8,[12][13][14]16]. Однако при этом нередки осложнения -замедление процесса заживления, часто заканчивающиеся рецидивами и образованием грубых рубцов, что встречается у 10-40% больных [10,11,15]. Южно-Уральский государственный медицинский университет, г. челябинск, Россия Резюме В работе проводился сравнительный анализ результатов хирургического лечения эпителиального копчикового хода (ЭКХ) у 133 детей в возрасте от 3 до 17 лет с использованием лазериндуцированной интерстициальной термотерапии (лииТ) и открытого иссечения.…”

Section: Introductionunclassified

Treatment of the pilonidal sinus in children using laser radiation

2021

View full text Add to dashboard Cite

The work carried out a comparative analysis of the results of surgical treatment of the epithelial-coccygeal course of ECC in 133 children aged 3 to 17 years, using laser-induced interstitial thermotherapy (LIT) and open excision. Comparative analysis was carried out according to the following criteria: duration of surgery, average time of hospital stay, duration of pain syndrome on a 10-point scale (VAS), the presence of complications in the early and late postoperative period. In the main group, the average time of hospital stay was 4.9 ± 0.3; the duration of surgical treatment was 17.2 ± 2.8 minutes. The duration of the pain syndrome was 5.3 ± 2.1 hours, and its severity was 2.7 ± 0.8 points. Average terms of epithelialization of fistulas are 3.1 ± 2.8 days. Recurrence of ECC was observed in 7 patients (11.7%), which required re-intervention. In 3 (5.0%) patients, LIT was used, and in 4 (6.7%), excision using plastics according to the Bascom method. In the comparison group, the duration of surgical treatment was 32.6 ± 5.4 minutes. The duration of inpatient treatment is 16.7 ± 1.4 days. Pain syndrome averaged 71.8 ± 11.9 hours, severity 6.5 ± 2.3 points. The number of relapses was 9 (12.3%), of which 5 (6.8%) children underwent laser treatment, and 4 (5.5%) repeated surgical excision with Bascom with recovery. This technique is an effective and minimally invasive method for treating ECC, which makes it possible to recommend this method for use in pediatric surgical practice.

show abstract