Kosayeva G. A.
REHABILITATION OF PATIENTS AFTER OPERATIONS TO REMOVE THE PILONIDAL SINUS
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About the author:
Kosayeva G. A.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
The object of the study was the results of examination and treatment of 105 patients aged 16 to 72 years who received inpatient treatment with a diagnosis of pilonidal sinus during 2019-2022. The average age of patients was 26.5±1.1 years, while the ratio of men and women was as follows: 86 men, 19 women. The case histories and outpatient records of 54 patients (control group) who underwent surgery by traditional methods were retrospectively analyzed. Prospectively, the data of examination and treatment of 51 patients (the main group) with pilonidal sinus and who underwent surgery according to a new technique proposed by us were studied. In the main group, surgical intervention was performed in patients with pilonidal coccyx sinus using Limberg skin grafting and a collagen sponge impregnated with doxycycline. Of the patients who had Limberg plastic surgery, only 5 had cicatricial deformity in the sacrococcygeal region. In the control group, in patients with a completely closed wound after incision and removal of the pilonidal sinus, performance was restored on average after 18.5 ±1.3 days after surgery, in patients with an open wound -after 21.2 ±3.1 days, and in patients with skin flap transplantation -after 12.8±3.4 days. As can be seen, the process of restoring the ability to work of patients in the main group, compared with the control group, began much earlier. The quality of life of patients in the postoperative period was higher both physically and psychologically. The use of Limberg plastic surgery using a sponge impregnated with doxycycline is an effective method in the direction of early rehabilitation of patients, this method has broad prospects for use in surgical clinics.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2023 Issue 3, 170, 222-225 pages, index UDC 617-089.844
