Sacrococcygeal pilonidal disease surgery optimization

The aim — to improve the surgical treatment results of sacrococcygeal pilonidal cysts.Materials and methods. Surgical treatment of 451 patients with sacrococcygeal pilonidal cysts was performed. Depending on the treatment method, patients were divided into two groups: the main — 226 patients who underwent surgical treatment using the developed method of median resection with internal biodegradable sutures that did not require removal, and comparison — 225 patients who underwent surgical treatment in the traditional way using removable nodal sutures with cutaneous fixation. All patients were operated on an outpatient basis under local anesthesia.Results and discussion. The time of outpatient treatment and epithelialization of the wound was twice shorter in the study group than the comparison (7 vs 16 days, 13 vs 27 days, respectively). The recurrence rate was significantly lower (3.1 % versus 10.6 %). Suppurations of the postoperative wound were also recorded more frequently in the comparison group: 2 (0.9 %) and 9 (4 %), respectively.Conclusions. The use of the developed method for the surgical treatment of sacrococcygeal pilonidal cysts due to the economical resection of the skin