Email this article 
Post a Comment Modern methods of treatment of complicated forms of pilonidal cyst
- Authors: Kchibekov E.A.1, Zurnadzhyants V.A.1, Dzhabrailov R.A.1, Gasanov K.G.1, Zurnadzhyants A.V.1, Shikhragimov M.I.1
-
Affiliations:
- Astrakhan State Medical University
- Issue: Vol 41, No 5 (2024)
- Pages: 66-74
- Section: Review of literature
- URL: https://journals.rcsi.science/PMJ/article/view/271980
- DOI: https://doi.org/10.17816/pmj41566-74
- ID: 271980
Cite item
Abstract
There are several theories of the origin of diseases of the epithelial coccygeal tract: empirical, neurogenic, ectodermal and acquired. Most Russian scientists consider this pathology to be congenital, while foreign colleagues believe that it is a consequence of sacrococcygeal area injuries. This pathology is quite common, affecting more than 5 % of the adult population, it also occurs in children and adolescents. This disease decreases the quality of patients` life significantly, affecting all aspects of their life.
Conservative methods of treatment do not provide a complete cure, since they do not eliminate the causes of the disease. These include sclerotherapy and obliteration of the cavity with silver nitrate or hydrochloric acid. These methods are not used nowadays.
Surgical treatment is the most effective one for this pathology. Surgical intervention, despite its apparent simplicity, turns out to be quite complex, which makes it inaccessible to any general surgeon. Treatment results are often disappointing due to the high incidence of complications after surgery, as well as the long period of activity limitation. Therefore, the resulting rough scar is a cosmetic defect, and the risk of recurrence remains quite high. Studying the literature data, one can see that the authors` opinions concerning surgical tactics for this disease differ. At the moment, there is no single approach and surgical tactic for the treatment of epithelial pilonidal cyst. The problem of creating and introducing new methods of treatment of pilonidal disease remains relevant nowadays.
Full Text
##article.viewOnOriginalSite##About the authors
E. A. Kchibekov
Astrakhan State Medical University
Email: Eldar2376@mail.ru
ORCID iD: 0000-0001-9213-9541
DSc (Medicine), Professor of the Department of Surgical Diseases of the Pediatric Faculty
Russian Federation, AstrakhanV. A. Zurnadzhyants
Astrakhan State Medical University
Email: zurviktor@yandex.ru
ORCID iD: 0000-0002-1962-4636
DSc (Medicine), Professor, Head of the Department of Surgical Diseases of the Pediatric Faculty
Russian Federation, AstrakhanR. A. Dzhabrailov
Astrakhan State Medical University
Author for correspondence.
Email: rustam.dzhabrailov.9507@mail.ru
ORCID iD: 0009-0005-3696-9109
Assistant of the Department of Surgical Diseases of the Pediatric Faculty
Russian Federation, AstrakhanK. G. Gasanov
Astrakhan State Medical University
Email: nazim.gasanov.1985@mail.ru
ORCID iD: 0000-0002-8725-6177
PhD (Medicine), Assistant of the Department of Surgical Diseases of the Pediatric Faculty
Russian Federation, AstrakhanA. V. Zurnadzhyants
Astrakhan State Medical University
Email: zurnajyants.arsen@yandex.ru
ORCID iD: 0000-0001-9242-1176
PhD (Medicine), Associate Professor of the Department of Hospital Therapy
Russian Federation, AstrakhanM. I. Shikhragimov
Astrakhan State Medical University
Email: maga_sochi91@mail.ru
ORCID iD: 0009-0009-4110-7609
Assistant of the Department of Surgical Diseases of the Pediatric Faculty
Russian Federation, AstrakhanReferences
- Карташев А.А., Чарышкин А.Л., Евтушенко Е.Г. Способ хирургического лечения больных эпителиальным копчиковым ходом. Хирург 2011; 1: 3–5 / Kartashev A.A., Charyshkin A.L., Evtushenko E.G. Method of surgical treatment of patients with epithelial coccygeal tract. Khirurg 2011; 1: 3–5 (in Russian).
- Воробьев Г.И. Основы колопроктологии. Ростов-на-Дону: Феникс 2001; 416./ Vorob'ev G.I. Osnovy koloproktologii. Rostov-na-Donu: Feniks 2001; 416 (in Russian).
- Лурин И.А., Цема Е.В. Этиология и патогенез пилонидальной болезни. Колопроктология 2013; 3: 35–50 / Lurin I.A., Cema E.V. Etiology and pathogenesis of pilonidal disease. Koloproktologiya 2013; 3: 35–50 (in Russian).
- Магомедова З.К., Чернышова Е.В., Грошилин В.С. Преимущества и опыт практического использования способа хирургического лечения больных с рецидивами эпителиальных копчиковых ходов. Ульяновский медико-биолологический журнал 2016; 2: 98–105 / Magomedova Z.K., Chernyshova E.V., Groshilin V.S. Advantages and experience of practical use of the method of surgical treatment of patients with recurrent epithelial coccygeal passages. Ul'yanovskiy mediko-biolologicheskiy zhurnal 2016; 2: 98–105 (in Russian).
- Дульцев Ю.В., Ривкин В.Л. Эпителиальный копчиковый ход. М.: Медицина 1988; 128 / Dul'cev Ju.V, Rivkin V.L. Epitelial'nyy kopchikovyy khod. Moscow: Meditsina 1988; 128 (in Russian).
- Личман Л.А., Каторкин С.Е., Андреев П.С. Результаты хирургического лечения пациентов с эпителиальной копчиковой кистой. Врач-Аспирант 2017; 81 (2): 19–24 / Lichman L.A., Katorkin S.E., Andreev P.S. The results of surgical treatment of patients with epithelial coccygeal cyst. Vrach-Aspirant 2017; 81 (2): 19–24 (in Russian).
- Anderson A.W. Hair extracted from an ulcer. Boston Medical and Surgical Journal 847; 36: 74–76.
- Денисенко В.Л. Оптимизация лечения эпителиального копчикового хода, осложненного абсцессом. Новости хирургии 2008; 16 (1): 55–61 / Denisenko V.L. Optimization of treatment of epithelial coccygeal tract complicated by an abscess. Novosti khirurgii 2008; 16 (1): 55–61 (in Russian).
- Кибальчич А.В., Флеккель В.А. Радикальное лечение больных с острым воспалением эпителиальных копчиковых ходов. Клиническая хирургия 1985; 1: 12–14 / Kibal'chich A.V., Flekkel' V.A. Radical treatment of patients with acute inflammation of the epithelial coccygeal passages. Klinicheskaya khirurgiya 1985; 1: 12–14 (in Russian).
- Гулов М.К., Зубайдов Т.Н. Выбор способа хирургического лечения больных с эпителиальным копчиковым ходом. Вестник Авиценны 2012; 3: 34–39 / Gulov M.K., Zubajdov T.N. Choice of method of surgical treatment of patients with epithelial coccygeal tract. Vestnik Avicenny 2012; 3: 34–39 (in Russian).
- Buie L. Practical proctology. Philadelphia: WB Saunders 1937; 451.
- Gecim I.E., Goktug U.U., Celasin H. Endoscopic Pilonidal Sinus Treatment Combined With Crystalized Phenol Application May Prevent Recurrence. Dis Colon Rectum 2017; 60 (4): 405–407. DOI: 10.1097. DCR.0000000000000778
- Harris C., Sibbald R.G., Mufti A., Somayaji R. Pilonidal Sinus Disease: 10 Steps to Optimize Care. Adv Skin Wound Care 2016; 29 (10): 469–478. doi: 10.1097/01.ASW.0000491324.29246.96
- Dessily M., Charara F., Ralea S., Allé J.L. Pilonidal sinus destruction with a radial laser probe: technique and first Belgian experience. Acta Chir Belg 2017; 117 (3): 164–168. doi: 10.1080/00015458.2016.1272285
- Isik A., Idiz O., Firat D. Novel Approaches in Pilonidal Sinus Treatment. Prague Medical Report 2016; 117 (4): 145–52. DOI: 10.14712.23362936.2016.
- Черкасов М.Ф., Галашокян К.М., Старцев Ю.М., Черкасов Д.М. Вакуум-терапия в лечении эпителиального копчикового хода. Колопроктология 2016; (1): 35–39 / Cherkasov M.F., Galashokjan K.M., Starcev Ju.M., Cherkasov D.M. Vacuum therapy in the treatment of epithelial coccygeal stroke. Koloproktologija 2016; (1): 35–39 (in Russian).
- Farrell D., Murphy S. Negative pressure wound therapy for recurrent pilonidal disease: a review of the literature. Wound ostomy and continence nursing 2011; 38 (4): 373–378. doi: 10.1097/WON.0b013e31821e5117
- Muhammad A., Albahadili Ammar W., Majeed. Pilonidal Sinus Management Using 980 nm Diode Laser. Journal of Health, Medicine and Nursing 2016; 33: 35–41.
- Даценко Б.М. Оптимизация программы двухэтапного хирургического лечения острого нагноения эпителиального копчикового хода. Актуальные проблемы колопроктологии 2005; 61–62 / Datsenko B.M. Optimization of the program of two-stage surgical treatment of acute suppuration of the epithelial coccygeal course. Aktual'nye problemy koloproktologii 2005; 61–62 (in Russian).
- Помазкин В.И. Анализ результатов лечения эпителиального копчикового хода при дифференцированном выборе операции. Уральский медицинский журнал 2010; 4: 36–39 / Pomazkin V.I. Analysis of the results of treatment of the epithelial coccygeal tract with differentiated choice of surgery. Ural'skij medicinskij zhurnal 2010; 4: 36–39 (in Russian).
- Рудин Э.П., Дубов С.Б. Лечение эпителиального копчикового хода. Хирургия; 1996: 6: 73–74 / Rudin E.P., Dubov S.B. Treatment of epithelial coccygeal course. Khirurgiya 1996; 6: 73–74 (in Russian).
- Воробей А.В., Денисенко В.Л., Римжа М.И. Ромбовидная кожная пластика в лечении абсцедирующего эпителиального копчикового хода. Актуальные проблемы колопроктологии 2001; 19–21 / Vorobey A.V., Denisenko V.L., Rimzha M.I. Diamond-shaped skin grafting in the treatment of abscessed epithelial coccygeal tract. Aktual'nye problemy koloproktologii 2001; 19–21 (in Russian).
- Mosguera D.A., Quayle J.B. Bascomis operation for pilonidal sinus. Journal of the Royal Society of Medicine 1995; 88 (1): 45–46.
- Грабовецкий Д.Е., Туребаев Д.К. Профилактика и лечение рецидивов эпителиального копчикового хода. Здравоохранение Казахстана 1991; 1: 63–64 / Grabovetskiy D.E., Turebaev D.K. Prevention and treatment of relapses of the epithelial coccygeal tract. Zdravookhranenie Kazakhstana 1991; 1: 63–64 (in Russian).
- Джураев А.А., Мадалиев И.Н. Тактика радикального хирургического лечения острых гнойно-воспалительных заболеваний эпителиального копчикового хода. Актуальные проблемы колопроктологии: материалы конференции. Нижний Новгород 1995; 249–251 / Dzhuraev A.A., Madaliev I.N. Tactics of radical surgical treatment of acute purulent-inflammatory diseases of the epithelial coccygeal tract. Aktual'nye problemy koloproktologii: materialy konferentsii. Nizhniy Novgorod 1995: 249–251 (in Russian).
- Карташев А.А., Чарышкин А.Л., Евтушенко Е.Г. Способ хирургического лечения больных с эпителиальным копчиковым ходом. Хирургия 2011; 1: 3–5 / Kardashev A.A., Charyshkin A.L., Evtushenko E.G. A method of surgical treatment of patients with epithelial coccygeal course. Khirurgiya 2011; 1: 3–5 (in Russian).
Supplementary files
