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Results for “Pilonidal Sinus”

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[Lysosomal-cation test in the control of treatment of acute proctological diseases].

An express evaluation of the functional state of neutrophil granulocytes by the indications of the lysosomal-cationic test are thought to be a necessary addition to routine clinico-laboratory methods of assessment of the wound process in patient with the suppurating epithelial coccygeal canal and acute paraproctitis. Use of cytochemical indices allow the antibacterial therapy to be optimized in patients with suppurating epithelial coccygeal canal and thus substantially decrease the amount of complications in the postoperative period.

Acute Disease↗

[Cutaneous cysts and cystic skin tumors].

The nomenclature and pathogenesis of cutaneous cysts is discussed along the lines of their pathological properties. On the basis of histological and experimental evidence it is concluded that most cysts represent benign neoplasms derived from pluripotential cells.

Adenoma, Sweat Gland↗

[Treatment of pustular lesions of the perineum and sacrococcygeal region].

The results of treatment of 316 patients with chronic pustular lesions of the perineum and sacrococcygeal region are discussed. It is shown that the only radical measure in this category of patients is total excision of the involved tissues and, in combined variants, simultaneous performance of typical operations for rectal fistula or coccygeal pilonidal fistula. In localized and mostly in regional forms of the disease one-stage surgical interventions are expedient. Many-stage operations are indicated in extensive and, less frequently, in regional forms. Postoperative complications occurred in 5.3% of cases and were associated with wound suppuration. The late-term results were studied in 71.7% of patients who underwent operation: recurrences developed in 3.7% of cases.

Chronic Disease↗

[Radical treatment of pilonidal disease].

A pilonidal disease is an illness which appears in younger population (second and third life's decade), dominantly in male and especially in hairy, pilous persons. Besides symptoms and troubles this disease causes, from time to time, the disability to the work, so that its economical aspect is not to be disregarded. As the number of recurrences following the surgery could be important (accordingly to the world referencies from 15 to around 30%), the choice of an appropriate surgical treatment still remains open! Based on an analysis of their own patients operated upon in the last ten years, authors present their observations concerning the surgical treatment of chronic forms of pilonidal disease, taking into consideration a radical surgical procedure they have applied last years, which has shown certain advantages in comparison with other ones, regarding fairly reduced number of postoperative recurrences.

Adolescent↗

[Carbon dioxide laser in the surgical treatment of proctologic diseases].

Results of the surgical treatment of 556 patients with different diseases of the anorectal area with the help of CO2 laser are presented. Functional results were good, the amount of postoperative complications was 1.5 times less, recurrences were half less, the time of intrahospital treatment was 1.5 day shorter, the period of ambulatory rehabilitation 3.8 days shorter.

Carbon Dioxide↗

[The use of DuoDerm in the surgical wound after surgical treatment of pilonidal fistulae using the open method].

The results of a study on the use of DuoDerm Hydroactive sterile occlusive dressing on the operative wound after simple excision of pilonidal fistula are reported. Two groups of 20 patients were studied: in the first group the wound was treated with traditional medications, in the second group with DuoDerm. Comparing the results obtained from these two groups, the Authors conclude underlining the therapeutic efficacy of the dressing which stimulates granulation and accelerates re-epithelialization with complete healing in 6 weeks on average compared with the 10 needed with traditional medications.

Bandages, Hydrocolloid↗

[Grafts for surgery of the anus (author's transl)].

In surgery of the anus, grafts should be used as a complement to the extensive resections of lesions such as: skin tumors, radiotherapic lesions, resistant itching, chronic infection, pilonidal cysts, multiple fistulae. Such grafts are useful in many instances because they shorten the period of healing and insure a better skin cover. Grafts used in anal surgery are: the Davis-patch type, the free skin type and the pedicle-flap type. Each has its own indications. They are immediate or delayed. The author's experience indicates that indications for grafts are frequent, that their effects are always favorable and that the rate of failure is very low despite the risk of contamination from the proximity with the anus.

Anal Canal↗