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EBSCO

https://doi.org/10.14300/mnnc.2025.20022

Forecasting and prevention of postoperative complications in patients with uncomplicated pilonidal sinus

[Original research] [Surgery]
Sofia Korablina; Peter Lavreshin; Alexandr Muravyev; Oksana Vladimirova; Khasan Baychorov; Vakhtang Gobejishvili; Natalia Shahnazaryan; Marat Kazbekovich Chotchaev;

This item offers a view of the outcomes of examination and treatment of 118 patients suffering from pilonidal sinus (PS). The patients were divided into two groups. In the control group, the patients underwent excision of the PS followed with suturing of the postoperative wound with Donati stitches. The main group were 67 (56.7 %) patients, whose treatment implied taking into account the topographic and anatomical structure of the gluteal-sacrococcygeal area (GSCA), the specifics of its blood supply, and a predisposition to pathological scarring. The study outcomes revealed that an integrated approach to diagnosing and treating patients with PS in the main group allowed improving significantly the treatment results, namely – reducing the number of postoperative complications (down to 4.3 %), the disease recurrence rate (down to 2.7 %), and the development of pathological scars (down to 2.9 %).

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Keywords: pilonidal sinus, microcirculation, pathological scar development