vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2024.1.CASE.6vmireaviz-893Research ArticleКлинический случайClinical caseНовый хирургический способ лечения пилонидальной кисты копчика (клинический случай)A new surgical method for the treatment of pilonidal coccyx cyst (clinical case)https://orcid.org/0000-0002-3681-4685ПахомоваР. А.PakhomovaR. A.

Пахомова Регина Александровна - д-р мед. наук, доцент, заведующая кафедрой пластической хирургии, 

Волоколамское ш., д. 11, г. Москва, 125080

Regina A. Pakhomova - Dr. Sci. (Med.), Docent, Head of the Department of Plastic Surgery, 

11. Volokolamsk Highway, Moscow, 125080

pra5555@mail.ruhttps://orcid.org/0000-0002-3681-4685КлименкоК. В.KlimenkoK. V.

Клименко Константин Владимирович - пластический хирург, 

Большая Очаковская ул., д. 31, г. Москва,119361

Konstantin V. Klimenko - Plastic Surgeon, 

31, Bolshaya Ochakovskaya str., Moscow, 119361

kklimenko777@yandex.ruhttps://orcid.org/0000-0001-5784-7067КочетоваЛ. В.KochetovaL. V.

Кочетова Людмила Викторовна - канд. мед. наук, доцент, профессор кафедры общей хирургии именипрофессора М.И. Гульмана; 

ул. Партизана Железняка, д. 1, г. Красноярск, 660022

Lyudmila V. Kochetova - Cand. Sci. (Med.), Docent, Professor of the Department of General Surgery named after Professor M.I. Gulman,

1, Partizan Zheleznyak str., Krasnoyarsk, 660022

DissovetKrasGMU@bk.ruРОСБИОТЕХРоссияBIOTECH UniversityRussian FederationКлиника пластической хирургии RevitalifeRussian FederationRevitalife Plastic Surgery ClinicRussian FederationКрасноярский государственный медицинский университет имени профессора В.Ф. Войно-ЯсенецкогоRussian FederationProfessor V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation202410032024141124128Copyright © Пахомова Р.А., Клименко К.В., Кочетова Л.В., 20242024Пахомова Р.А., Клименко К.В., Кочетова Л.В.Pakhomova R.A., Klimenko K.V., Kochetova L.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/893Актуальность

Актуальность. Пилонидальная киста копчика представляет собой узкий канал, выстланный эпителием, содержащий волосяные луковицы, сальные железы, который открывается на коже межъягодичной складки чаще одним или несколькими точечными отверстиями. Вопрос этиологии и патогенеза заболевания до сих пор спорный. Разработка методов оперативного лечения данного заболевания началась с середины XIX века, за это время предложено огромное количество вариантов вмешательств, однако до настоящего времени нет единого подхода к оперативному лечению пилонидальной болезни.

Цель исследования

Цель исследования: оценить результаты лечения пилонидальной кисты копчика новым хирургическим методом.

Материал и методы

Материал и методы. В статье описана авторская методика хирургического лечения пилонидальной кисты копчика, защищённая патентом RU 2 760 094. Представлены ранние и отдаленные результаты лечения.

Результаты

Результаты. При применении нового способа оперативного лечения пилонидальной кисты копчика уменьшаются сроки эпителизации раны, стационарный койко-день и время нетрудоспособности пациентов, уменьшается процент послеоперационных осложнений, значительно улучшается косметический результат операции и качество жизни пациентов.

Выводы

Выводы. Предложенный хирургический способ лечения пилонидальной кисты копчика улучшает качество жизни, снижает риск рецидива и улучшает эстетический результат операций.

Relevance

Relevance. The pilonidal cyst of the coccyx is a narrow channel lined with epithelium containing hair follicles, sebaceous glands, which opens on the skin of the interdigital fold more often with one or more punctate openings. The question of the etiology and pathogenesis of the disease is still controversial. The development of methods of surgical treatment of this disease began in the middle of the XIX century, during which time a huge number of options for interventions were proposed, but to date there is no single approach to the surgical treatment of pilonidal disease.

The aim of the study was to evaluate the results of treatment of pilonidal coccyx cyst with a new surgical method.

Material and methods

Material and methods. The article describes the author's method of surgical treatment of a pilonidal cyst, protected by patent RU 2,760,094. Early and longterm treatment results are presented.

Results

Results. When using a new method of surgical treatment of pilonidal coccyx cyst, the time of wound epithelialization, inpatient bed-day and time of disability of patients decrease, the percentage of postoperative complications decreases, the cosmetic result of surgery and the quality of life of patients significantly improve.

Conclusions

Conclusions. A new surgical method for the treatment of pilonidal coccyx cyst improves the quality of life and reduces the risk of recurrence.

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The authors declare that there are no conflicts of interest present.