A 10-year experience in treating patients with pilonidal sinus using fiber diode laser
https://doi.org/10.37895/2071-8004-2018-22-4-17-22
Abstract
Purpose. To study the efficiency of puncture interstitial laser obliteration of pilonidal sinus (PS) under ultrasonic control and to compare it with traditional surgical interventions. Material and methods. The authors have analyzed results of treating 363 patients with PS for the last 10 years. The puncture interstitial laser obliteration technique under ultrasonic control was used in 184 patients with PS in the studied group. Other 179 patients were operated on with the traditional technique consisting of cysts excision and primary suturing. Results. Surgery in the studied group lasted for 14,3 ± 3,6 minutes, while in the comparison group – 36,6 ± 5,2 minutes. Intensity of pain syndrome in the studied group was minimal – 1,2 ± 0,2 points according to the pain scale, while in the other group – 5,7 ± 1,6 points. Hospital stay in the studied group did not exceed 3 days, while in the comparison group it was more than 12 days. Patients from the studied group could resume their work three times more quicker. Long-term results in patients from the studied group did not differ significantly, if to compare with the other group, while their satisfaction after surgical intervention with laser obliteration was much better. Conclusion. The obtained results allow us to recommend the discussed technique for clinical practice.
About the Authors
I. V. Krochek
South-Ural State Medical University
Russian Federation
Chelyabinsk
Russian Federation
Chelyabinsk
S. V. Sergiyko
South-Ural State Medical University
Russian Federation
Chelyabinsk
Russian Federation
Chelyabinsk
V. A. Privalov
South-Ural State Medical University
Russian Federation
Chelyabinsk
Russian Federation
Chelyabinsk
I. I. Shumilin
South-Ural State Medical University
Russian Federation
Chelyabinsk
Russian Federation
Chelyabinsk
References
1. Abushkin I.A., Privalov V.A., Lappa A.V., Krochek I.V. et al. A method for surgical treatment of epithelial coccygeal pilonidal sinus). Patent RF № 2283632. 2006.
2. Byvaltsev V.A., Belykh E.G., Sorokovikov V.A., Arsentyeva N.I. Application of scales and questionnaires in vertebrology. Zhurnal nevrologii i psykhiatrii. 2011; 2 (9): 51–56.
3. Kartashov A.A., Yevtushenko E.G., Leshin I.A. Dynamics of the depth of interglacial fold after surgeries for pilonidal sinus. Proceedings of IX International Conference «Russian School of Colorectal Surgery» and IV Congress of the Eurasian Association of Colorectal Technologies (Ye.C.TA). Moscow, First Moscow Medical University. 2015: 28.
4. Kartashov A.A., Yevtushenko E.G., Leshin I.A. The asymmetric excision technique in the treatment of epithelial coccygeal sinus. Proceedings of the IX International Conference «Russian School of Colorectal Surgery» and the IV Congress of the Eurasian Association of Colorectal Technologies (E.ST.А.). Moscow, First Moscow Medical University. 2015: 29–30.
5. Krochek I.V., Sergyiko S.V., Popov V.P. A technique for treating pilonidal sinus with fber-optic laser. IX International Russian School of Colorectal Surgery and IV Congress of the Eurasian Association of Colorectal Technologies (E.C.T.A.). Materials congress coloproctologists and gastroenterologists. Moscow, First Moscow Medical University. 2015: 5.
6. Lurin I.A., Tsema E.P. Etiology and pathogenesis of pilonidal sinus. Coloproctologia. 2013; 3: 35–49.
7. Nechay I.A., Maltsev N.P., Afanasyev E.P. The experience in using «closed» methods in the treatment of pilonidal sinus. Proceedings of the IX International Conference «Russian School of Colorectal Surgery» and the IV Congress of the Eurasian Association of Colorectal Technologies (Ye.S.TA). Moscow, First Moscow Medical University. 2015: 9.
8. Nurlyev K.G., Babaev Kh.B., Tachmuradov B.A., Kakabaev O.S. A technique for the treatment of pilonidal sinus. Author’s certifcate. USSR. 1989. No. 1819637, 10989.
9. Tsarkov P.V., Kravchenko A. Yu., Tulina I.A., Lukyanova E.S. Application of skin and fascial gluteal flaps for wound closure after removal of pilonidal cysts. Proceedings of the IX International Conference «Russian School of Colorectal Surgery» and the IV Congress of the Eurasian Association of Colorectal Technologies (Ye.C.TA). Moscow, First Moscow Medical University. 2015: 36.
10. Shumilin I.I. Laser obliteration of synovial ganglia. Lasernaya Medicina. 2016; 20 (3): 39.
11. Azizi R., Alemrajabi M. Trends in surgical treatment of pilonidal sinus diseases: primary closure or flap? World Journal of Surgery. 2012; 36 (7): 1713–4. DOI:10.1007/s00268-012-1551-y.
12. Gulpinar K., Pampal A., Ozis S.E. Non-operative therapy for pilonidal sinus in adolescence: crystallised phenol application. BMJ Case Report. 2013; 3: 67–71.
13. Kaya B., Eris C., Atalay S., Bat O. et al. Modifed Limberg transposition flap in the treatment of pilonidal sinus disease. Tech.Coloproctol. 2012; 16 (1):p 55–9. DOI: 10.1007/s10151-011-0799-9.
14. Meinero P., Mori L., Gasloli G. Endoscopic pilonidal sinus treatment (E.P. Si.T.). Tech.Coloproctol. 2013; 17: 54–59.
15. Milone M., DiMinno M.N., Musella M. The role of drainage after excision and primary closure of pilonidal sinus: a meta-analysis. Tech.Coloproctol. 2013; 11: 34–38.
16. Soll C., Dindo D., Steinemann D. Sinusectomy for primary pilonidal sinus: less is more. Surgery. 2011; 150 (5): 996–1001.
Review
For citations:
Krochek I.V., Sergiyko S.V., Privalov V.A., Shumilin I.I. A 10-year experience in treating patients with pilonidal sinus using fiber diode laser. Laser Medicine. 2018;22(4):17-22. (In Russ.) https://doi.org/10.37895/2071-8004-2018-22-4-17-22
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