A RATIONAL APPROACH TO THE REHABILITATION OF CHILDREN WHO UNDERWENT SURGERY BECAUSE OF PILONIDAL DISEASE
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i3.10509Keywords:
pilonidal disease, children, rehabilitationAbstract
summary. Pilonidal disease is a common pathology, the history of which is quite long. But despite this, there is still no unanimous decision as to the indications for treatment, the approaches and methods of its surgical correction, the plan of further rehabilitation.
The aim of the study – to develop a procedure for postoperative management of children who have undergone radical surgery for pilonidal disease.
Material and Methods. In our work, we provide an option for the management and rehabilitation of a patient who has undergone surgery proposed by G.E. Karydakis in 1992 (Bascom II technique). It is considered optimal because of a number of advantages over other methods of surgery.
Results. We believe that it is advisable to divide the management of the wound area into several periods, each of which has its own peculiarities and rules that should be observed: preoperative period, early postoperative period, long postoperative period, late postoperative period.
Conclusions. 1. A rational approach to the organization of perioperative and postoperative periods in children with pilonidal disease is an important element of rehabilitation, which is able to significantly reduce the incidence of postoperative complications and the risk of relapse, as well as to reduce patient discomfort.
2. There is a need for a clear adherence to the algorithm for rehabilitation of children operated on for pilonidal disease to standardize care delivery.
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