Advantages and application of a new method of surgical treatment of patients with recurrent pilonidal sinus

Objective. The work objective is to improve the results of radical surgical treatment of recurrent pilonidal sinus and cysts by means of a new method of operative therapy, detection and prevention of the main causes of disease recurrence in primary radical surgery for pilonidal sinus and cysts. Materials and Methods. There was developed a new original «Method of Surgical Treatment of Recurrent Pilonidal Sinus» (Russian Federal Patent № 2556617). It implies the application of two bordering undulating incisions, radical excision of recurrent pilonidal sinus, using L-shaped relief incisions above and below the points indicating the beginning of the right bordering incision and the end of the left bodering incision respectively. As a result, upper and lower triangular adipodermal flaps are formed. These flaps are located on the wound and fixed by interrupted sutures. Then the bordering undulating wound incisions are repaired. The method was tried and tested in the clinic of Rostov State Medical University. 12 patients with postoperative disease recurrence were treated using this method. The follow-up period was from 4 up to 12 months. Results. The outcome analysis of the new method showed lack of postoperative recurrences within specified time limits. Conclusion. The new original «Method of Surgical Treatment of Recurrent Pilonidal Sinus» improves surgical treatment efficacy of this pathology, reduces the number of complications and disease recurrences due to radical surgical removal of pilonidal sinus and cysts and decrease in the tension of wound edges. This method prevents from wound eruption at the bottom, formation and suppuration of the residual cavities. It also has a good cosmetic result by means of wound blood supply maintainance and scar formation without deformation.