Email this article Treatment of Patients with Uncomplicated Sacrcoccygeal Sinus
- Authors: Lavreshin P.M.1, Gobejishvili V.K.1, Korablina s.S.1, Gobejishvili V.V.2, Korkmazov I.K.3, Uzdenov M.B.4, Tatarshaov M.H.5
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Affiliations:
- Federal State-Founded Educational Institution of High Professional Education Stavropol State Medical University Russian, Ministry of Health
- Federal State-Founded Educational Institution of High Professional Education I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health,
- Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy, Cherkessk, Russia
- Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy,
- Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy
- Issue: Vol 15, No 2 (2022)
- Pages: 131-135
- Section: Original articles
- URL: https://journals.rcsi.science/2070-478X/article/view/149042
- DOI: https://doi.org/10.18499/2070-478X-2022-15-2-131-135
- ID: 149042
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Abstract
Introduction. Despite the progress made in the treatment of patients with sacrococcygeal sinus, the number of complications in the early postoperative period does not decrease below 23%; 12% of operated patients experience relapses of the disease, 14% of patients develop rough scars and discomfort in the area of surgical intervention.
The aim of the study was to improve clinical outcomes of patients with uncomplicated sacrococcygeal sinus.
Materials and methods. The study included 152 patients who underwent surgical interventions: 79 (52,0%) - with sacrococcygeal sinus in the stage without clinical manifestations and 73 (48,0%) - in remission. In addition to the standard laboratory and instrumental examination, the following parameters were studied: predisposition to the development of excessive scarring, the importance of acute-phase inflammation proteins in predicting the development of pathological scars. A group of patients prone to excessive scarring was identified, measures were taken to prevent its development. The authors proposed options for surgical treatment of sacrococcygeal sinus using an intradermal suture.
Results. When comparing long-term clinical outcomes of conventional treatment of patients with uncomplicated sacrococcygeal sinus and an integrated approach, there was revealed a decrease in the development of gross cicatricial deformity in the area of surgical intervention by 2,7 times, discomfort in the sacrococcygeal region by 3,7 times, the number of the disease relapses by 2,4 times.
Conclusion. To predict the development of pathological scarring after surgery, it is necessary to study the dynamics of changes in the concentrations of acute-phase inflammation proteins in the peripheral blood of patients. To improve clinical outcomes in patients tending to excessive scar formation, it is necessary to include anti-scar therapy in the complex of postoperative measures. An integrated approach can significantly improve clinical outcomes of patients with sacrococcygeal sinus.
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##article.viewOnOriginalSite##About the authors
Petr Mikhailovich Lavreshin
Federal State-Founded Educational Institution of High Professional Education Stavropol State Medical University Russian, Ministry of Health
Email: v_lin@mail.ru
ORCID iD: 0000-0001-7839-5995
SPIN-code: 4862-3480
Head of the Department of General Surgery, Doctor of Medical Sciences, Professor
Russian Federation, 355017, Stavropol, Russia, Mira street, 310Vladimir Kishvardievich Gobejishvili
Federal State-Founded Educational Institution of High Professional Education Stavropol State Medical University Russian, Ministry of Health
Email: gobshah@mail.ru
ORCID iD: 0000-0002-0377-6205
SPIN-code: 5709-1191
Associate Professor, Department of General Surgery
Russian Federation, 355017, Russia, Stavropol, Mira street, 310sofia Sergeevna Korablina
Federal State-Founded Educational Institution of High Professional Education Stavropol State Medical University Russian, Ministry of Health
Email: korablina_s@mail.ru
ORCID iD: 0000-0002-5113-2543
SPIN-code: 7377-2597
Candidate of Medical Sciences, Associate Professor of the Department of General Surgery
Russian Federation, 355017,Stavropol, Russia, Mira street, 310Vachtang Vladimirovich Gobejishvili
Federal State-Founded Educational Institution of High Professional Education I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health,
Email: Walker87@list.ru
ORCID iD: 0000-0002-8883-4952
SPIN-code: 3486-4344
Candidate of Medical Sciences, Associate Professor of the Department of Surgery of the Institute of Advanced Training
Russian Federation, 119991, Russia, Moscow, Trubeshkay street, 8Ilyas Khamzatovich Korkmazov
Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy, Cherkessk, Russia
Email: 001.korkmaz@gmail.com
Assistant of the Department of Surgical Diseases with a course of topographic anatomy
Russian Federation, 369000, Russia, Cherkessk, Kosmonavtov street, 100Marat Borisovich Uzdenov
Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy,
Email: uzdenov1@rambler.ru
ORCID iD: 0000-0003-0526-0517
SPIN-code: 5199-1691
Candidate of Medical Sciences, Director of the Medical Institute of the North Caucasus State Academy, Associate Professor of the Department of Surgical Diseases with a course in topographic Anatomy
Russian Federation, 369000, Russia, Cherkessk, Kosmonavtov street, 100Mukharby Hadzhibekirovich Tatarshaov
Federal State-Founded Educational Institution of High Professional Education North Caucasian State Academy
Author for correspondence.
Email: Mukharby@bk.ru
ORCID iD: 0000-0003-0580-4860
Doctor of Medical Sciences, Professor, Head of the Department of Surgical Diseases with the course of Topographic Anatomy
Russian Federation, 369000, Russia, Cherkessk, Kosmonavtov street, 100References
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