Immediate and long-term results of surgical treatment of pilonidal cysts
Abstract
Introduction. The aim of this study is to compare laser ablation and Karidakis surgery in the treatment of pilonidal cysts.
Methods. A prospective study based on multicenter analysis and randomization involved 128 people who underwent surgical interventions for ECC. Three groups of patients were formed according to the method of surgical treatment: The main group, in which patients underwent laser obliteration of the epithelial coccygeal passage according to the method developed by us. Comparison group 1, in which the method of excision of the coccygeal passage with tight suturing of the wound was used. Comparison group 2, in which surgical interventions were used according to the method of Bascom, Karydakis, Limberg.
Results. The study of the immediate and remote results of treatment showed a low frequency of relapses of the disease (10%), which is comparable with traditional surgical techniques (10-12%). When comparing all techniques, no reliable significant differences were obtained in the number of relapses, and the number of postoperative complications in the early postoperative period when using laser technologies is significantly less than in the comparison groups (the number of complications in the early postoperative period is significantly less (7,5% complications in the main group 24.1%, and 13,4% in the first and second comparison groups).
Discussion. The results of clinical studies are comparable with the data presented in international literature. The quality of life of patients who underwent laser treatment is significantly higher than that of those who underwent traditional surgical interventions.
About the Authors
D. S. Zolotukhin
South-Urals State Medical University; Chelyabinsk Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
I. V. Krochek
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
S. V. Sergiyko
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
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Review
For citations:
Zolotukhin D.S., Krochek I.V., Sergiyko S.V. Immediate and long-term results of surgical treatment of pilonidal cysts. Title in english. 2024;19(3):16-20. (In Russ.)
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