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Paulius Karumnas „Pilonidal cysts recurrence surgical treatment results“ The present study was designed to compare three methods that are still used for the surgical treatment of pilonidal disease: marsupialization, primary midline closure and skin flaps. The present study was designed to compare three methods that are still used for the surgical treatment of pilonidal disease: marsupialization, primary midline closure and skin flaps. The aim of the study: Assess on 2005-2014 years LUHSH KC patients treated for pilonidal recurrence treatment results. Goals of the research: 1.Access on pilonidal recurrence treatment frequency on LUHSH KC Children's Surgical Clinic 2005 – 2014. 2. Evaluate at what age and sex of children frequently recurred pilonidal disease. 3. Find out what the most common surgical treatment is applied before the recurrence. 4. Assess whether the time to disease relapse depend on the complexity of surgical approach (incision, excision and marsupialization). 5. Determine whether pilonidal disease recurrence treatment applied type of operation had an impact on the number of hospital stay. Research subjects and methods: A retrospective LUHSH KC Children's Surgery Clinic 2004 - 2014 year hospitalized 46 children and adolescents pilonidal cysts relapse medical records analysis. Data analysis was performed using SPSS 22.0. Statistical significance was evaluated chi square (χ²) criterion, used Pearson correlation. The results of the study: 2005 – 2014 year LUHSH KC Children's Surgery Clinic for pilonidal cysts hospitalized 164 patients, of whom 46 patients (28%) due to hospitalize pilonidal cysts recurrence. Pilonidal disease relapse rates by year generally occurred in 17 (41.3%) years of age, and observed higher pilonidal relapse boys group (p=0.014). Despite the surgical techniques of treatment relapse was similar (p=0,951). Hospital stay average after marsupialization – 18.33 d., after excision – 10.73 d., after the incision – 8,72 d. (p=0.013). The conclusions of the study: 1. Of the total, 2005-2014 LSMUL KK Children's Surgery Clinic hospitalized on pilonidal disease patients, a third of them pilonidal recurrence cases. 2. Pilonidal disease usually recurred 17 years of age, more often – boys (p=0.014). 3. Prior to the relapse, usually applied to the surgical treatment of the disease pilonidal method – incision. 4. Operation method (incision, excision, marsupialization) choice to relapse duration was not a statistically significant difference (p=0.121). 5. Operational methods pilonidal disease significantly influence the choice of the number of hospital stay. The incision - the number of hospital stay less than using marsupialization method (p=0.013). |
