Advantages of the new method of recurrent epithelial sacrococcygeal fistulas surgical treatment

The instability of the results of epithelized pilonidal sinus surgical treatment, the high proportion of recurrence and postoperative complications, is an actual problem of modern coloproctology and requires new approaches to the treatment of this disease. Individual approach to the choice of closing the wound defect after radical excision of epithelized pilonidal sinus and cysts will reduce the number of complications and recurrence of the disease. 20 patients were operated with epithelized pilonidal sinus who have had a relapse of the disease during the period from 1 to 12 months. Twelve patients used a new "Method of surgical treatment of recurrent epithelial pilonidal sinus” (RF patent №2556617), comprising applying the two bordering wavy cut, radical excision of recurrent epithelized pilonidal sinus, causing laxative Г-shaped sections above and below the points located at the beginning of the right fringing section and in the section bordering the end of the left, respectively, thereby forming the upper and lower skin and fat flap triangular shape. Formed upper and lower triangular dermal-fat flap is moved to the wound defect and fix them interrupted sutures, and then undulating bordering sections of the wound is sutured. Thus, using of the developed method allows to adequately close the wound defect after radical excision epithelized pilonidal sinus without tension of wound edges, the eruption of the bottom, the formation of residual cavities and suppuration. This method can be used in recurrent epithelized pilonidal sinus that differ in the depth of the subcutaneous fat, the amount of sinus tracts and cysts distant from intergluteal line.