Surgical treatment of pilonidal cysts of the sacrococcygeal area using cross-linked polyurethane adhesive

Authors

  • Ya. P. Feleshtynskyi Shupyk National Healthcare University of Ukraine
  • I. H. Balan Shupyk National Healthcare University of Ukraine
  • N. A. Halatenko Istitute of Macromolecular Chemistry of the National Academy of Sciences of Ukraine
  • D. V. Kuliesh Istitute of Macromolecular Chemistry of the National Academy of Sciences of Ukraine
  • Y. V. Vladychuk O. Bohomolets National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2021.4.12715

Keywords:

pilonidal cyst, polyurethane adhesive, wound closure with tissue adhesives

Abstract

The aim of the work: to improve the results of treatment of patients with pilonidal cysts of the sacrococcygeal area by comprehensive surgical treatment using cross-linked polyurethane adhesive.

Materials and Methods. The analysis of surgical treatment of 126 patients with pilonidal cysts of the sacrococcygeal area was carried out. The age of the patients ranged from 18 to 46 years; the average age was (27±1.2) years. There were 111 men (88 %), and 15 women (12 %). The patients were divided into 2 groups depending on the method of treatment. The groups of patients were comparable in age and sex (p>0.05). In group 1 (64 patients), surgical treatment was carried out according to the method of economical resection developed by the authors with double-row internal extraepidermal sutures in combination with a cross-linked polyurethane adhesive with immobilized albucide. In group 2 (62 patients), surgical treatment of pilonidal cysts was performed using the traditional method of median resection using interrupted cutaneous fixation sutures. None of the patients had previously undergone surgery for pilonidal cyst. Surgical treatment was performed under local anesthesia. All patients underwent outpatient surgery. The time of postoperative observation of patients was 12–24 months.

Results and Discussion. In the postoperative period, among 64 patients of group 1, 4 (6.3%) patients had seroma of postoperative wound; 1 (1.6 %) patient had wound infection; no wound hematoma was observed; recurrence of pilonidal cyst was diagnosed in 1 (1.6%) patient with class 3 obesity, and diabetes mellitus. Among 62 patients of group 2, 16 (25.8 %) patients had seroma of the wound. Postoperative wound infection was observed in 10 (16.1 %) patients. The presence of hematoma was observed in 2 (3.2%) patients. Recurrence of the disease was observed in 6 (9.7 %) patients within 1–3 months. The results show a significant improvement in the surgical treatment of pilonidal cysts in patients of group 1, who underwent surgery according to the developed method using an adhesive composition.

References

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Published

2022-02-18

How to Cite

Feleshtynskyi, Y. P., Balan, I. H., Halatenko, N. A., Kuliesh, D. V., & Vladychuk, Y. V. (2022). Surgical treatment of pilonidal cysts of the sacrococcygeal area using cross-linked polyurethane adhesive. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 44–48. https://doi.org/10.11603/2414-4533.2021.4.12715

Issue

No. 4 (2021)

Section

EXPERIENCE OF WORK

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