ЗГРИЖУВАЊЕ НА ДЕФЕКТИТЕ НАСТАНАТИ ПО ЕКСЦИЗИЈА НА SINUS PILONIDALIS ВО САКРО-КОКЦИГЕАЛНАТА РЕГИЈА

Abstract

Introduction. The pilonidal cyst is still an actual surgical problem due to the frequency of its appearance and high risk of post-operative recurrence. Radical excision and treatment of the defect is classic surgical technique when dealing with this clinical identity. Having in mind the frequency of post-operative recurrences, many surgical methods to treat the tissue defect have been developed. The tendency is to avoid the straight line in the inter-gluteal crease. The objective of our study is to evaluate the different available operative techniques that are used when treating this disease. Methods. This is a retrospective-prospective study that includes all 671 patients treated in a period of 10 years with various techniques employed. The techniques are analyzed and compared regarding their complications with a special attention paid to the recurrence and the rate of the disease. Results. Recurrences are seen after 6-12 months of follow up. There are 22 eases of recurrences (3,28%). Most of them, or 72% of the total number, are seen in the patients that were operated with the method of direct suture of the postexcisional defect (2,88%). In the open method, no recurrences are presented. In the other 93 cases where other techniques were utilized, there are only 2 recurrences (2.07%). Conclusions. There are no recurrences in cases of opened wound healing, but hospital stay is the longest one. Com-paring other methods. there is a smaller recurrence risk with this technique. and although patient and surgeon de-pended. it has insignificant differences concerning the risk of postoperative complications.