Ways to improve treatment of epithelzed pilonidal sinun

Abstract


In structure of proctological diseases the epithelzed pilonidal sinus (EP) took fourth place. Choosing the wrong medical
tactics and method of operation lead to complications and associated diseases in 6-30%, suppuration and diseases in chronic
form of the 10-30% operated. To improve the results of surgical treatment in patients with different stages of disease EP
proposed the differential approach to a choice of method of treatment. Under supervision were 230 patient at the age from
17 to 53 years. The control group (I) was made by 102 patient operated by a traditional technique. The basic group included
128 patients. In this group the method of a choice of operative treatment and a variant of closing of a wound depended on
prevalence of inflammatory process and topografo-anatomical fiatures cluneal-coccygeal area. Wound closing was carried
out intracutaneous sutures. In the first group of 19 (18.6%) patients had postoperative complications. In the second group the
complicated current was marked only at 6 (4.7%) patients. Disease relapses have arisen at 11 (10.8%) patients control group
and 1(0.8%) patient of the basic group


Ставропольская государственная медицинская академия

Author for correspondence.
Email: author@vestnik-surgery.com

д.м.н., проф., зав.
кафедрой общей хирургии Ставропольской го-сударственной медицинской академии; e-mail:
Walker87@list.ru

Ставропольская государственная медицинская академия

Email: author@vestnik-surgery.com

к.м.н.,
доц. кафедры общей хирургии Ставропольской
государственной медицинской академии; e-mail:
Walker87@list.ru

Ставропольская государственная медицинская академия

Email: author@vestnik-surgery.com

асс. кафедры общей
хирургии Ставропольской государственной меди-цинской академии; e-mail: Walker87@list.ru

Ставропольская государственная медицинская академия

Email: author@vestnik-surgery.com

асс. кафедры общей
хирургии Ставропольской государственной меди-цинской академии; e-mail: Walker87@list.ru

  1. Denisenko V.L., Vorobei A.V. Lechenie epitelial'nogo
  2. kopchikovogo khoda. Meditsinskaia panorama: retsenziru-emyi nauchno-prakticheskii zhurnal dlia vrachei i delo-vykh krugov meditsiny [treatment epithelial
  3. coccygeal. Medical panorama: a peer-reviewed scientific journal for physicians and medical business]. OOO«Meditsinskaia panorama».
  4. ; 1: 65-66.
  5. Ermolaev V.L., Shurygina E.P., Stolin A.V., Baryshev
  6. V.E. Taktika lecheniia bol'nykh s oslozhnennymi for-mami epitelial'nogo kopchikovogo khoda [The treatment of patients with complicated forms of epithelial coccygeal]. Ural'skii
  7. meditsinskii zhurnal. 2010; 4: 35-38.
  8. Lavreshin P.M., Gobedzhishvili V.K., Aliev M.M. Spo-sob khirurgicheskogo lecheniia epitelial'nogo kopchiko-vogo khoda, oslozhnennogo mnozhestvennymi svishchami [The method of surgical treatment of epithelial coccygeal, complicated by multiple fistulas].
  9. Vestnik khirurgii. 2007; 4: 63-65.
  10. Matveev A.I., Matveev I.A., Drozdetskii N.I., Mazarak
  11. M.S. Modifitsirovannyi sposob ushivaniia rany me-zh'iagodichnoi skladki posle issecheniia nagnoivshegosia
  12. epitelial'nogo kopchikovogo khoda [The modified method of suturing wounds intergluteal folds after excision of festering
  13. epithelial coccygeal]. Meditsinskaia nauka
  14. i obrazovanie Urala. 2008; 5: 28-29.
  15. Pomazkin V.I. Analiz rezul'tatov lecheniia epiteli-al'nogo kopchikovogo khoda pri differentsirovannom
  16. vybore operatsii [Analysis of the results of treatment of epithelial coccygeal when differentiated
  17. choice of operation]. Ural'skii meditsinskii zhurnal.
  18. ; 4: 36-39.
  19. Chintapatla S., Safarani N., Kumar S.Kresttsovo-kopchikovyy
  20. pilonidal'nie pazukhi: istoricheskiy obzor: patologicheskaya ponimaniye i
  21. khirurgicheskiye varianty [Sacrococcygeal
  22. pilonidal sinus: historical review: pathological insight and
  23. surgicaloptions]. Tech. Coloproctol. 2003; 7: 3-8.
  24. Gencosmanoglu R., Inceoglu R. Modificirovannyj planirovka - otkrytaja po sravneniju s
  25. obshhim issecheniem s pervichnym zakrytiem v lechenii
  26. hronicheskogo kopchikovogo pilonidal'nogo sinusa [Modified lay – open versus
  27. total excision with primary closure in the treatment of
  28. chronic sacrococcygeal pilonidal sinus]. Int. J. Colorectal
  29. Dis. 2005; 20: 415-422

Views

Abstract - 83

PDF (Russian) - 53

PlumX

Dimensions


Copyright (c) 2012 ., ., ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies