Pilonidal diseases in children
https://doi.org/10.31146/1682-8658-ecg-230-10-206-216
Abstract
Aim: to study the treatment results of the proposed surgical procedures in children with pilonidal diseases and determine the prospects for treatment based on a review of the literature from 1992 to 2023. Materials and methods. A review was conducted in domestic and foreign databases: eLIBRARY, PubMed, The Cochrane Library, CyberLeninka, Google Scholar for the period from 1992 to 2023. Key words used for the search: pilonidal cyst, pilonidal sinus, children. Results. Midline closure as a standard surgical approach has a recurrence rate reaching 45%, and after excision with open healing by secondary intention the recurrence rate was 23%. Procedures such as Karydakis, Bascom, “Cleft lift” and procedures with an advancement skin flap, recurrences occur in up to 10.2%. The use of minimally invasive procedures such as phenol, fibrin glue, pit-picking technique, Gips procedure, “sinusectomy” were accompanied by the occurrence of recurrences in 1% - 20% of cases. PEPSiT and laser probes proved promising, with recurrences occurring in 2.9%-4.8% of cases. Conclusion. The question of the ideal surgical procedure of pilonidal diseases in adult and children remains controversial. The procedures are always chosen individually, and depends on the severity and prevalence of the disease. Minimally invasive procedures are effectiveness with a low recurrence, however, to assess long-term results, it is necessary to accumulate material with subsequent analysis.
About the Authors
Yu. Yu. Koinov
State Novosibirsk Regional Clinical Hospital
Russian Federation
Russian Federation
Yu. V. Chikinev
Novosibirsk State Medical University
Russian Federation
Russian Federation
P. V. Trushin
Novosibirsk State Medical University
Russian Federation
Russian Federation
A. I. Shevela
Institute of Сhemical Biology and Fundamental Medicine - the Siberian Branch of the RAS
Russian Federation
Russian Federation
V. V. Sytkov
A.I. Yevdokimov Moscow State University of Medicine and Dentistry; The Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
A. I. Khavkin
Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region; Belgorod State Research University. Ministry of Science and Higher Education of the Russian Federation
Russian Federation
Russian Federation
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For citations:
Koinov Yu.Yu., Chikinev Yu.V., Trushin P.V., Shevela A.I., Sytkov V.V., Khavkin A.I. Pilonidal diseases in children. Experimental and Clinical Gastroenterology. 2024;(10):206-216. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-230-10-206-216
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