Modern method of surgical treatment of epithelial coccygeal tract
https://doi.org/10.25789/YMJ.2024.86.10
Abstract
There are several theories of the origin of epithelial coccygeal diseases: empirical, neurogenic, ectodermal and acquired. Most Russian scientists consider this pathology to be congenital, while foreign colleagues tend to believe that it is a consequence of injuries to the sacrococcygeal area. This disease occurs quite often, affecting more than 5% of the adult population, including children and adolescents, significantly impairing the quality of life, which affects all aspects of their life.
Conservative methods of treatment include sclerotherapy and obliteration of the cavity with silver nitrate or hydrochloric acid, which is not used today, since a positive result of treatment of the epithelial coccygeal course is not achieved, because the cause of the disease is not eliminated.
Surgical treatment is the most effective method of treating epithelial coccygeal stroke. Surgical treatment, despite the simplicity of its execution, is quite scrupulous. The high incidence of complications after surgery and the long period of disability often disappoint surgeons. The resulting rough scar has an undesirable cosmetic effect, and the probability of recurrence remains quite high. The problem of creating and implementing new methods of treating pilonidal disease remains relevant in our time.
About the Authors
V. A. Zurnadzhyants
Astrakhan State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Zurnadzhiants Viktor Ardovazdovich – Doctor of Medical Sciences, Professor, Head of the Department of Surgical Diseases of the Faculty of Pediatrics
E. A. Kchibekov
Astrakhan State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kchibekov Eldar Abduragimovich – Doctor of Medical Sciences, Professor of the Department of Surgical Diseases of the Faculty of Pediatrics
R. A. Dzhabrailov
Astrakhan State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dzhabrailov Rustam Alievich – assistant of the Department of Surgical Diseases of the Faculty of Pediatrics
References
1. Bykova N.L. Surgical methods for the treatment of pilonidal sinus. // Modern Science. 2020. № 5–3. P. 435–439.
2. Vacuum therapy in the treatment of epithelial coccygeal stroke. / M.F. Cherkasov [et al.] // Coloproctology.2016; (1): 3539.
3. Choice of surgical treatment method of pilonidal disease without abscess formation. / D. A. Khubezov [et al.] // Surgery. 2019; 8(2):24-31.
4. Gulov M.K., Zubaidov T.N., Ibrokhimov Yu. Kh. Improving diagnostic methods and surgical treatment of complex forms of the epithelial coccygeal duct // Avicenna's Bulletin. 2016;4 (69):5-16.
5. Zolotukhin D.S., Krochek I.V., Sergiyko S.V. Laser thermotherapy or excision – what to offer a patient with epithelial coccygeal duct? // Perm Medical Journal. 2020; 6.
6. Korkmazov I.H., Omarova A.M. Differentiated approach to the treatment of pilonidal sinus. // Bulletin of scientific conferences.2020; 12–1 (64): 75–78.
7. Lichman L.A. Katorkin S.E. Andreev P.S. The results of surgical treatment of patients with epithelial coccygeal cyst. // Postgraduate Doctor. 2017; 81(2): 19-24.
8. 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 // Ulyanovsk Medical and Biological Journal. 2016; 2 :98-105.
9. Nechay I.A., Mal'tsev N.P., Pavlov M.V. Surgical treatment of pilonidal sinus. // Surgery. The magazine named after N.I. Pirogov. 2020; 12: 99–104.
10. Optimized surgical tactics in the treatment of pilonidal sinus. / S.G. Brezhnev. [et al.] // Сoloproctology. 2017; 3 (61): 18–19.
11. Pomazkin V.I. Analysis of the results of treatment of the epithelial coccygeal tract with dif-ferentiated choice of surgery. // Ural Medical Journal. 2010; 4: 36-39.
12. Epithelial coccygeal tract. Methods of surgical treatment. / Popkov O.V[et al.] // Military medicine. 2017; 1:101–106.
13. Anderson A.W. Hair extracted from an ulcer. // Boston Medical and Surgical Journal 847; 36: 74-76.
14. Bascom J. Pilonidal sinus: experience with the Karydakis flap. // Br J Surg. 1998; 85: 874-877.
15. Bascom J. Pilonidals: Distilled wisdom. Societaltaliana di Chirurgia. // ColoRettale 2010; 25: 218-220.
16. Gecim IE, Goktug UU, Celasin H. Endoscopic Pilonidal Sinus Treatment Combined with Crystalized Phenol Application May Prevent Recurrence. // Dis Colon Rectum. 2017 Apr;60(4):405-407.
17. Karydakis G.E. Easy and successful treatment of pilonidal sinus a fterex planation of its causa-tive process. // Aust NZJ Surg 1992; 62: 385-389.6.
18. Pilonidal Sinus Disease: 10 Steps to Optimize Care. / C. Harris [et al.] // Adv Skin Wound Care. 2016 Oct;29(10):469-78.
19. The American society of colon and rectal surgeons’ clinical practice guidelines for the management of pilonidal disease. / E. K. Johnson [et al.] // Diseases of the Colon and Rectum. 2019.
Review
For citations:
Zurnadzhyants V.A., Kchibekov E.A., Dzhabrailov R.A. Modern method of surgical treatment of epithelial coccygeal tract. Yakut Medical Journal. 2024;(2):42-45. https://doi.org/10.25789/YMJ.2024.86.10
Views:
28
Email this article 