Ways to improve treatment of epithelzed pilonidal sinun


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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

About the authors

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

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