Minimally invasive treatment of pilonidal cysts in children: the Gips procedure
- Authors: Stepanova N.M.1,2, Novozhilov V.A.1,2, Mochalov M.N.2, Zvonkov D.A.2, Voropaeva A.V.1, Petrov E.M.2, Moroz S.V.2, Khaltanova D.Y.2, Namkhanov V.V.3
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Affiliations:
- Irkutsk State Medical University
- Ivano-Matreninskaya Children’s Clinical Hospital
- Buryat State University
- Issue: Vol 12, No 1 (2022)
- Pages: 61-68
- Section: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/123578
- DOI: https://doi.org/10.17816/psaic1013
- ID: 123578
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Abstract
BACKGROUND: Pilonidal disease (pilonidal cyst, epithelial coccygeal passage) is a chronic inflammatory disease of the sacrococcygeal region, common among young people, including adolescents, to a certain extent worsens the quality of life. Until now, the etiopathogenesis and surgical treatment methods of the disease have been the subject of wide discussion.
AIM: The aim of the study was to evaluate the effectiveness of Gips operations in children with pilonidal disease.
MATERIALS AND METHODS: A comparative analysis of 41 patients with pilonidal disease was conducted in the surgical department of the City Ivano-Matryoninsk Children's Clinical Hospital in Irkutsk from January 2020 to August 2021. Planned surgical treatment was performed in 22 patients with primary or recurrent pilonidal cysts, including 15 children using the M. Gips procedure. The comparison group consisted of patients who underwent wide excision of a complex of soft tissues bearing a pilonidal cyst, primary and secondary fistulous passages, followed by wound restoration with a storey suture.
RESULTS: The patients comprised 72.7% boys and 27.3% girls with an average age of 15.6 ± 1.5 years and average disease duration of 5.1 ± 2.2 months. The average operation time was 12 ± 4.2 minutes. The motor regime was resumed on the first day after the operation. Patient pain was relieved by administering non-steroidal anti-inflammatory drugs for the first two postoperative days. There were no early postoperative complications. The average hospital stay was 3.8 ± 1.9 days. Complete healing by secondary intention was achieved after an average of 3.9 ± 1.8 weeks. The average follow-up was 7 ± 3.8 months, and 6.7% had early relapses.
CONCLUSIONS: Minimally invasive sinusectomy according to the Gips procedure for treating pilonidal disease in adolescents is safe and effective, has a low recurrence rate, allows an early return to daily activities, and provides a good cosmetic result. However, the small number of observations requires further research.
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##article.viewOnOriginalSite##About the authors
Nataliya M. Stepanova
Irkutsk State Medical University; Ivano-Matreninskaya Children’s Clinical Hospital
Email: dm.stepanova@mail.ru
ORCID iD: 0000-0001-5821-7059
SPIN-code: 7825-8561
Cand. Sci. (Med.), Associate Professor of the Department of Pediatric Surgery
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003; IrkutskVladimir A. Novozhilov
Irkutsk State Medical University; Ivano-Matreninskaya Children’s Clinical Hospital
Email: novozilov@mail.ru
ORCID iD: 0000-0002-9309-6691
SPIN-code: 5633-5491
MD, Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Surgery, Chief Physician
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003; IrkutskMikhail N. Mochalov
Ivano-Matreninskaya Children’s Clinical Hospital
Email: mnm-m.d@mail.ru
ORCID iD: 0000-0003-4763-8338
SPIN-code: 6262-3207
Pediatric Surgeon
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Denis A. Zvonkov
Ivano-Matreninskaya Children’s Clinical Hospital
Email: denis.zvonkov@mail.ru
ORCID iD: 0000-0002-7167-2520
SPIN-code: 6620-6758
Pediatric Surgeon
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Anastasia V. Voropaeva
Irkutsk State Medical University
Email: voropaeva300996@mail.ru
ORCID iD: 0000-0001-6709-3123
SPIN-code: 5268-1950
Clinical Resident
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Evgeniy M. Petrov
Ivano-Matreninskaya Children’s Clinical Hospital
Email: emp1976@rambler.ru
ORCID iD: 0000-0002-1083-0951
SPIN-code: 9949-7707
Pediatric Surgeon, Head of the Department of pediatric surgery
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Sergey V. Moroz
Ivano-Matreninskaya Children’s Clinical Hospital
Email: morozsv@mail.ru
ORCID iD: 0000-0003-2039-2761
SPIN-code: 4915-5348
Pediatric Surgeon
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Dora Yu. Khaltanova
Ivano-Matreninskaya Children’s Clinical Hospital
Email: khaltanovad@mail.ru
ORCID iD: 0000-0001-7018-3007
SPIN-code: 8185-7522
Pediatric Surgeon
Russian Federation, 3, Krasnogo Vosstaniya st., Irkutsk, 664003Vyacheslav V. Namkhanov
Buryat State University
Author for correspondence.
Email: namhanov@yandex.ru
ORCID iD: 0000-0001-6368-6474
SPIN-code: 5525-8518
Associate Professor of the Department of Faculty Surgery
Russian Federation, Republic of Buryatia, Ulan-UdeReferences
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