Authors
Lavreshin P.M.1, Gobedzhishvili V.K.1, Gobedzhishvili V.V.2, Gorbunkov V.YA., Omarova A.M.1, Zhernosenko A.O.3, Safarov N.V.1
1 Stavropol state medical University, Stavropol
2 First Moscow state medical University I.M. Sechenov, Moscow
3 Tuapse district hospital No. 3, Tuapse
Abstract
The results of surgical treatment of 180 patients with pilonidal fistula (PF) in the stage of chronic inflammation complicated by fistulas of the gluteal-sacro-coccygeal region. The first group included 90 patients (control) whose treatment was carried out by traditional methods. The second group (the main group) consisted of 90 patients, whose treatment was supplemented with elements of a multimodal approach. Early complications from the surgical wound were observed in 12 (13.3%) patients of the control group and in 6 (6.7%) patients of the main group. In the main group, compared with the control group, there was a decrease in relapses of the disease by 5.6%; phenomena of discomfort in the Sacro-coccygeal region — by 10.1%; gross scar deformation at the site of surgery — by 14.5%). With a comprehensive approach to the treatment of ECC, relapse of the disease was detected in 2 (2.2%) patients. The occurrence of pain, periodically itching in the Sacro-coccygeal region was recorded in 8 (8.8%) patients. Gross scar deformation in the Sacro-coccygeal region was detected only in 7 (7.7%) of the examined patients who had a tendency to pathological scarring. Thus, the use of elements of multimodal approach in the treatment of patients PF complicated by fistula gluteal-sacrococcygeal region will significantly reduce treatment time of patients, reduce the number of purulent-inflammatory complications in the wound and development of excess subaortalny.
Keywords: pilonidal fistula complicated by fistulas of the gluteal-Sacro-coccygeal region, prevention, wound complications, pathological scarring.
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