• Main page
• About the journal
• Editorial board
• Subscription
• Information for contributors
• Editorial and Peer Review
• Issues archive
• Authors
• Articles
  • By alphabet
  • By category
• Blogs and comments

The journal is included into The list of leading scientific periodicals.

The journal is included into VINITI database and is registered in Electronic scientific library.

The journal is indexed by SCOPUS, Ulrich's International Periodicals Directory.

EBSCO

https://doi.org/10.14300/mnnc.2025.20023

Experience of surgical treatment of pilonidal disease in children

[Original research] [Surgery]
Shakhbanov Rafik Ramazanovich; Artem Mikhaylovich Efremenkov; Minin Aleksei Evgenievich;  Zykin Aleksandr Pavlovich; Igor Kirgizov; Alexandr Muravyev; Peter Chumakov;

Surgery nowadays offers a wide range of methods for treating pilonidal disease (PD), each with its characteristics and potential advantages. Despite the achievements in this area, none of the existing approaches can be considered universal or ideal. From 2016 to 2023, 97 children with PD were treated. Patients were divided into two groups: Group 1 – patients with the traditional method of tightly suturing the postoperative wound (n=52), Group 2 – patients operated on using the technique developed by us: suturing the edges of the skin to the bottom of the wound in a checkerboard pattern using laser marking of the surgical field (n=45). In Group 1, complications, including seromas, hematomas, and wound edge divergence, were observed in 38.5 % (20) of patients. In Group 2, complications were recorded reliably (p<0.05) in fewer numbers, in 15.4 % (7) of patients. Additionally, relapses of the disease were statistically lower (p<0.05) in Group II compared to Group I (4.4 % and 26.9 %, respectively). Thus, as a result of using the proposed technique, patients with PD experienced a decrease in relapses and complications compared to the traditional treatment method.

Download

References:
1. Stoeckel A., Murtadi G., Renzi K., McArthur M., Cohen R. [et al.] Gender Differences in Adolescent Pilonidal Disease. J. Pediatr. surg. 2025;60(5):162267. https://doi.org/10.1016/j.jpedsurg.2025.162267
2. Poverin G. V., Evdokimov A. N. Coccyx cysts in children (clinic, diagnosis and surgical treatment). Russian Bulletin of Pediatric surgery, Anesthesiology and Intensive Care. 2019;9(2):105-120. https://doi.org/10.30946/2219-4061-2019-9-2-105-120
3. Khubezov D. A., Lukanin A. R., Krotkov A. R. [et al.] The results of laser obliteration in the surgical treatment of epithelial coccygeal passage. Coloproctology. 2020;19(2):91-103.
4. Lavreshin P. M., Gobejishvili V. V., Gobejishvili V. K., Korablina S. S., Korkmazov I. Kh., Omarova A. M. The method of pilonidal sinus treatment in patients with high butocks configuration. Medical News of North Caucasus. 2021;16(3):308-310. https://doi.org/10.14300/mnnc.2021.16073
5. Mentessidou A., Mirilas P., Maravilla V., Malakounides G. Outcomes of Pediatric Endoscopic Pilonidal Sinus Treatment: A Systematic Review. Eur. J. Pediatr. surg. 2024;34(4):294-300. https://doi.org/10.1055/s-0043-1771224
6. Kirgizov I. V., Minaev S. V. The ultrasonic way of the in traoperative assess of the resection volume of colon in children with chronic constipation. Medical News of North Caucasus. 2014;9(2):125-128. https://doi.org/10.14300/mnnc.2014.09035
7. Minneci P. C., Gil L. A., Cooper J. N., Asti L., Nishimura B. A. [et al.] Laser Epilation as an Adjunct to Standard Care in Reducing Pilonidal Disease Recurrence in Ado lescents and Young Adults: A Randomized Clinical Trial. JAMA surg. 2024;159(1):19-27. https://doi.org/10.1001/jamasurg.2023.5526
8. Bykova N. L. Surgical methods of treatment of epithelial coccygeal passage. Modern science. 2020;3(5):435-439.
9. Korablina S. S., Lavreshin P. M., Muraviev A. V., Gobedzhishvili V. K., Gobedzhishvili V. V. [et al.] Treatment of patients with uncomplicated chronic form of pilonidal sinus inflammation. Medical News of North Caucasus. 2023;18(2):184-185. https://doi.org/10.14300/mnnc.2023.18041
10. Bergus K. C., Lutz C., Bricker J., Asti L., Van Arendonk K. J. [et al.] Evaluating outcomes in adolescents with pilonidal disease treated with pilonidal sinus trephination. J. surg. Res. 2025;310:331-339. https://doi.org/10.1016/j.jss.2025.04.010
11. Maasewerd S. K. M., Stefanescu M. C., König T. T., Engels M. N., Rohleder S. [et al.] Paediatric Pilonidal Sinus Disease: Early Recurrences Irrespective of the Treatment Approaches in a Retrospective Multicentric Analysis. world J. surg. 2023;47(9):2296-2303. https://doi.org/10.1007/s00268-023-07045-x
12. Liu X., Zhao X., Shen G., Fan S., Xu J. [et al.] Effect of sinus resection combined with vacuum-assisted closure on sacrococcygeal pilonidal sinus. Int. wound J. 2023;20(9):3474-3482. https://doi.org/10.1111/iwj.14218
13. Vladimirova О. V., Lavreshin P. М., Minaev S. V., Muravyev A. V., Tsvetkov V. О. [et al.] Strategy for scar-prevention healing of traumatic and burns wounds. Medical News of North Caucasus. 2023;18(2):148-151. https://doi.org/10.14300/mnnc.2023.18032
14. Yang Y. P., Yu L. Y., Wang Y. Z., Shi J., Li J. N. [et al.] Comparative analysis on the effect of Z-plasty versus conventional simple excision for the treatment of sacrococcygeal pilonidal sinus: A retrospective randomised clinical study. Int. wound J. 2020;17(3):555-561. https://doi.org/10.1111/iwj.13315
15. Huurman E. A., de Raaff C. A. L., Sloots PCEJ., Lapid O., van der Zee H. H. [et al.] Dutch national guideline on the management of intergluteal pilonidal sinus disease. Br. J. surg. 2024;111(12):znae281. https://doi.org/10.1093/bjs/znae281

Keywords: pilonidal disease, treatment, laser marking, children, outcome