RESUMO
INTRODUCTION: To date, only a limited number of case reports have documented the co-occurrence of PNS and melanocytic nevus in the medical literature. This study aims to report an exceptionally rare case of posterior chest wall PNS in conjunction with a melanocytic nevus. CASE PRESENTATION: A 46-year-old female presented with a long-standing black lesion on her left upper posterior chest wall, that had become painful in the two months prior to presentation. There was a painful, dark blue, non-erythematous, and non-tender nodule on the left upper posterior chest wall. Based on the patient's desire for cosmetic purposes, the lesion was excised totally with primary closure under local anaesthesia. Histopathological examination revealed intradermal melanocytic nevus with inflamed pilonidal sinus. DISCUSSION: The rarity of posterior chest wall PNS associated with nevi poses unique diagnostic and therapeutic challenges for clinicians. The distinct anatomical location, different from the conventional region, and the rare association between the two conditions may delay accurate diagnosis and result in mismanagement or inappropriate interventions. CONCLUSION: The posterior chest wall PNS is another type of atypical PNS that is extremely rare. The association between PNS and blue nevus is a fascinating medical finding that deserves further investigation.
Assuntos
Nevo Pigmentado , Seio Pilonidal , Neoplasias Cutâneas , Parede Torácica , Humanos , Feminino , Pessoa de Meia-Idade , Parede Torácica/patologia , Parede Torácica/cirurgia , Seio Pilonidal/cirurgia , Seio Pilonidal/patologia , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Nevo Pigmentado/cirurgia , Nevo Pigmentado/patologia , Nevo Pigmentado/complicaçõesRESUMO
Pilonidal sinus disease is typically located in the sacrococcygeal area, although it has been described in other locations. We present a rare case of pilonidal sinus on the scalp and its management.
Assuntos
Seio Pilonidal , Couro Cabeludo , Humanos , Seio Pilonidal/patologia , Seio Pilonidal/diagnóstico , Seio Pilonidal/cirurgia , Masculino , Couro Cabeludo/patologiaRESUMO
Pilonidal sinus is an acquired chronic inflammatory condition associated with the penetration of hair fragments into the skin. In the pathogenesis of most of these cases, a traumatic event initiates the process allowing the introduction of the hairs into the skin. We report an unusual case of acquired pilonidal sinus as a consequence of the unconscious habit of chewing on the hairs in a 12-year-old girl. Although most commonly located in the gluteal cleft, it has been reported in several areas of the body (including face), but to the best of our knowledge, this is the first report in the oral cavity. Our case presented as a palatal and vestibular fistula in a patient who suffered from an undiagnosed peculiar form of hair pulling disorder that involved hair chewing but not trichophagia.
Assuntos
Seio Pilonidal , Tricotilomania , Feminino , Humanos , Criança , Tricotilomania/complicações , Tricotilomania/diagnóstico , Tricotilomania/patologia , Seio Pilonidal/diagnóstico , Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , Cabelo/patologia , Hábitos , Boca/patologiaRESUMO
OBJECTIVE: Pilonidal sinus of the hand is an occupational hazard for barbers, cow milkers, sheep shearers and dog groomers. Here, we report on a dog groomer who had four pilonidal sinuses. CASE PRESENTATION: A 49-year-old woman working as a dog groomer complained of multiple non-erythematous and fluctuant nodules on both hands, associated with pain, which had been identified five years previously. On the skin of her right hand, three nodules were observed on the volar (diameter: 1.5â¯cm) and medial (diameter: 1.4â¯cm) sides of fifth metacarpophalangeal joint and the volar aspect of the distal phalanx of the small finger (diameter: 0.7â¯cm). On the left hand, a 2-cm diameter nodule was identified on the volar side of the fifth metacarpophalangeal joint region. The nodules were excised surgically. A 5-mm long hair was removed from one nodule. Histopathology confirmed pilonidal sinus, treated by excision. One month postoperatively, the wound had healed uneventfully. CONCLUSION: When nodules are found in dog groomers, clinicians should consider the possibility of pilonidal sinus disease.
Assuntos
Seio Pilonidal , Humanos , Feminino , Bovinos , Cães , Animais , Ovinos , Pessoa de Meia-Idade , Seio Pilonidal/cirurgia , Seio Pilonidal/etiologia , Seio Pilonidal/patologia , Mãos , Articulação MetacarpofalângicaRESUMO
<b>Introduction:</b> As a rule, the treatment of pilonidal cysts is based on a surgical approach. Surgical treatment depends on the form of the disease and surgeon's preferences regarding the method. The treatment process does not consider preoperative treatment that would affect the structural components of the skin involved in the pathological process. The results of surgical treatment remain unsatisfactory, leading to a significant number of recurrences and long-term healing of the postoperative wound. </br></br> <b> Materials and methods:</b> Morphological examination of the pieces of skin with altered sacrococcygeal tissues after radical surgical treatment of 46 patients with pilonidal cyst of the sacrococcygeal region was performed, and 46 patients with acne inversa of the intergluteal cleft, groin and scalp were selected. The sex distribution of patients with pilonidal cysts was as follows: 43 (91.3%) male patients, 3 (6.5%) female patients. Among 46 patients with acne inversa and dissecting cellulitis, the distribution was as follows: 32 (69.6%) male patients and 14 (30.4%) female patients. Patients with pilonidal cysts of the sacrococcygeal region underwent surgical treatment according to the developed method of economical median resection using sutures with internal fixation. </br> </br> <b> Results:</b> Considering and comparing the morphological picture observed in the pathomorphological examination of histological specimens in patients with pilonidal cysts, acne inversa, dissecting cellulitis, the similarity of changes in most patients is noteworthy. "Acne inversa" was first described in 1839 by Velpeau, who originally called the disease "hydradenitis suppurativa", believing that inflammatory changes occur in the sweat glands [1-3]. In 1854, surgeon Verneuil described this disease, and later it was named after him. We observed chronic proliferative inflammation in different layers of the dermis and subcutaneous tissue (the main focus is in the subcutaneous tissue, but closely related to the dermis and epidermis). </br></br> <b>Discussions:</b> Pilonidal cyst of the sacrococcygeal region, especially without hair in the cavity of the cyst, can be considered as a type of acne inversa with appropriate location. We believe that the use of local and systemic retinoids, namely isotretinoin, in the treatment of patients with this disease other than surgery, together with other groups of drugs traditionally used in the treatment of pilonidal cysts, may be promising in the treatment of pilonidal cysts.
Assuntos
Acne Vulgar , Hidradenite Supurativa , Seio Pilonidal , Celulite (Flegmão) , Feminino , Hidradenite Supurativa/diagnóstico , Hidradenite Supurativa/patologia , Humanos , Masculino , Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , Região Sacrococcígea/patologia , Região Sacrococcígea/cirurgiaRESUMO
A 43-year-old man presented with a painful itching penile lesion. Examination revealed multiple fistulas with protruding hairs and surrounding induration. The urologist identified them as pilonidal sinuses and surgically performed debridement. Penile pilonidal sinus is a very rare differential diagnosis of balanoposthitis, epidermal cyst and penile carcinoma.
Assuntos
Seio Pilonidal , Dermatopatias , Adulto , Cabelo , Humanos , Masculino , Pelve , Pênis/patologia , Pênis/cirurgia , Seio Pilonidal/diagnóstico , Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , Dermatopatias/patologiaRESUMO
INTRODUCTION: Neoplastic degeneration is an uncommon but extremely serious complication of pilonidal sinus (PS) disease. We pretend to determine the factors that influence in the prognosis of the neoplastic disease assessing clinical features and histological findings. MATERIALS AND METHODS: We retrospectively studied the patients diagnosed of malignization of PS in our institution from 2000 to 2019. RESULTS: Seven male patients with a mean age at diagnosis of 64.8 years old were collected. Average time between the initial symptoms of PS disease and the tumor diagnosis was 33.7 years. The patients presenting an ulcerative pattern in the primary tumor showed in all the cases perineural invasion, local deep structures infiltration, and neoplastic dissemination to the regional lymph nodes. All these patients died in an average time of 7 months. On the other hand, patients with exophytic patterns in the primary tumor did not present local invasion or regional nodes affectation. All the cases survive with an average follow-up of 70.5 months. CONCLUSIONS: Ulcerated lesions clearly show a worse prognosis than tumors with exophytic morphology. Factors as perineural infiltration, local deep structures infiltration, or regional lymph node involvement dramatically decrease survival rates.
OBJETIVO: La cancerificación es una complicación infrecuente pero grave de la enfermedad por sinus pilonidal. Intentaremos determinar los factores que influyen en el pronóstico de la enfermedad neoplásica basándonos en hallazgos clínicos e histopatológicos. MATERIAL Y MÉTODOS: retrospectivamente se revisan pacientes diagnosticados de malignización de sinus pilonidal en nuestra institución del 2000 a 2019. RESULTADOS: fueron recopilados los casos de siete varones con una media de edad al diagnóstico de 64.8 años. El promedio entre el inicio de los síntomas de sinus pilonidal y el diagnóstico del tumor fue de 33.7 años. Los pacientes con un patrón ulcerativo en el tumor primario presentaron todos invasión perineural, infiltración de estructuras profundas y diseminación a linfáticos regionales. Todos estos pacientes fallecieron en una media de 7 meses. Por el contrario, los pacientes que mostraban un patrón exofítico, no presentaron invasión local o afectación de los linfáticos regionales. Todos estos casos sobrevivieron, con una media de seguimiento de 70.5 meses. CONCLUSIONES: tumores primarios ulcerativos claramente presentan un peor pronóstico que los casos de morfología exofítica. Factores como la infiltración perineural, la invasión local de estructuras profundas o la afectación de los ganglios linfáticos regionales van ligados a una disminución dramática en la supervivencia.
Assuntos
Seio Pilonidal , Humanos , Masculino , Pessoa de Meia-Idade , Seio Pilonidal/patologia , Prognóstico , Estudos Retrospectivos , Região Sacrococcígea/patologia , Taxa de SobrevidaRESUMO
BACKGROUND: Although pilonidal sinus disease is common, development of associated malignancy is very rare. After surgical treatment, most surgeons send the excision material for a histopathological examination. The aim of this study was to examine whether it is necessary to routinely send the pilonidal sinus surgical excision material for this examination. METHOD: The data of 3146 patients were retrospectively screened, and 2486 patients with available histopathological reports of the excision material were included in the study. RESULTS: Of the 2486 patients included in the study, 2165 were men and 321 were women, and 94.7% of the patients were under the age of 50 years while 5.3% were 50 years or above. The rate of patients who underwent surgery due to recurrence was 1.2%. No malignancy was detected in any patient after the histopathological examination. DISCUSSION: In this study, none of the pathology results was reported as malignant. This confirms that it is necessary to ask the question whether we should routinely send the surgical excision material for a histopathological examination.
Assuntos
Procedimentos Ortopédicos , Seio Pilonidal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/cirurgia , Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , Recidiva , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Our understanding of pilonidal sinus disease (PSD) is based on a paper published 29 years ago by Karydakis. Since then, surgeons have been taught that hair more easily penetrates wet skin, leading to the assumption that sweating promotes PSD. This postulate, however, has never been proven. Thus we used pilocarpine iontophoresis to assess sweating in the glabella sacralis. 100 patients treated for PSD and 100 controls were matched for sex, age and body mass index (BMI). Pilocarpine iontophoresis was performed for 5 min, followed by 15 min of sweat collection. PSD patients sweated less than their matched pairs (18.4 ± 1.6 µl vs. 24.2 ± 2.1 µl, p = 0.03). Men sweated more than women (22.2 ± 1.2 µl vs. 15.0 ± 1.0 µl in non-PSD patients (p < 0.0001) and 20.0 ± 1.9 µl vs. 11.9 ± 2.0 µl in PSD patients (p = 0.051)). And regular exercisers sweated more than non-exercisers (29.1 ± 2.9 µl vs. 18.5 ± 1.6 µl, p = 0.0006 for men and 20.7 ± 2.3 µl vs. 11.4 ± 1.4 µl, p = 0.0005 for women). PSD patients sweat less than matched controls. Thus sweating may have a protective effect in PSD rather than being a risk factor.
Assuntos
Cabelo/patologia , Seio Pilonidal/patologia , Região Sacrococcígea/patologia , Pele/patologia , Adolescente , Adulto , Índice de Massa Corporal , Estudos de Casos e Controles , Exercício Físico/fisiologia , Feminino , Cabelo/fisiopatologia , Humanos , Iontoforese/métodos , Masculino , Pessoa de Meia-Idade , Agonistas Muscarínicos/farmacologia , Pilocarpina/farmacologia , Seio Pilonidal/etiologia , Seio Pilonidal/fisiopatologia , Região Sacrococcígea/fisiopatologia , Fatores Sexuais , Pele/fisiopatologia , Sudorese/efeitos dos fármacos , Sudorese/fisiologiaRESUMO
RATIONALE: Pilonidal sinus disease (PSD) involving the breast is extremely rare and has not been described in man. PATIENT CONCERNS: This current case report presents a case of a pilonidal cyst in a 46-year-old man which was surgically treated. He had intermittent pain in his left breast for 2âmonths and came for local rupture and discharge for 1âweek. DIAGNOSIS: The initial diagnosis is male mastitis, on the basis of the histological features of H&E-stained specimens and immunohistochemistry of the resected lump, this case was diagnosed as PSD. INTERVENTIONS: The patient underwent "enlarged resection of the left breast lesion" under local anesthesia. OUTCOMES: The patient's surgical area healed well, without any signs of recurrence. CONCLUSION: PSD involving the breast is extremely rare in man, with no typically clinical manifestations, and could be easily ignored. This disease requires great attentions from clinicians.
Assuntos
Doenças Mamárias/diagnóstico , Doenças Mamárias/cirurgia , Seio Pilonidal/diagnóstico , Seio Pilonidal/cirurgia , Doenças Mamárias/diagnóstico por imagem , Doenças Mamárias/patologia , Diagnóstico Diferencial , Humanos , Masculino , Mastite/diagnóstico , Pessoa de Meia-Idade , Seio Pilonidal/diagnóstico por imagem , Seio Pilonidal/patologia , UltrassonografiaRESUMO
The most appropriate surgical treatment for pilonidal sinus disease (PSD) is still in dispute. This study aims to comprehensively compare the outcomes of surgical interventions using network meta-analysis. Randomized controlled trial studies were searched systematically to identify all eligible studies in multiple databases and previous publications and Bayesian network meta-analysis was performed. Our primary outcome was the recurrence rate. Differences in the findings of the studies were explored in meta regressions and sensitivity analyses. The risk of bias of each study was assessed using the Cochrane risk of bias tool. Confidence in evidence was assessed using CINeMA (Confidence in Network Meta-Analysis). A total of 39 studies and 5,061 patients were identified and the most common surgical intervention was the Limberg flap. In network meta-analysis, modified Limberg flap and off-midline closure were associated with the lowest recurrence rate. However, the Karydakis flap was associated with shorter operation time by several minutes compared with other interventions and few significant results were found in other outcomes. Modified Limberg flap and off-midline closure provided relatively low recurrence and complications rates. Therefore, they could be two promising surgical interventions for PSD patients.
Assuntos
Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Humanos , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
INTRODUCTION: Pilonidal sinus (PS) is a highly frequent condition in teenagers. There is no consensus on which type of closure should be carried out following surgical removal. Our objective is to compare primary closure (PC) results with secondary closure (SC) or deferred closure results. MATERIALS AND METHODS: Patients undergoing surgery for PS between 2013 and 2018 were studied and classified according to the type of closure. Presence of infection at removal, recurrence rate, pre- and postoperative antibiotic treat-ment, number of previous drainages, and sinus size were analyzed. RESULTS: Of the 57 patients (29 of whom women), 29 were treated using PC and 28 using SC. Mean age was 14±1 years in the PC group, and 16±1 years in the SC group. PC patients presented a postoperative partial dehiscence rate of 26%. No statistically significant differences were found between groups regarding the presence of infection at surgery, recurrence rate, postoperative antibiotic treat-ment, number of previous drainages, and sinus size (p>0.05). The SC group re-quired more postoperative dressings [4 (0-6) vs. 8 (2-11) (p<0.01)] and longer time to healing [60 days (9-240) vs. 98 days (30-450) (p<0.01)]. CONCLUSIONS: 1 out of 4 PS patients with PC presents postoperative partial dehiscence. However, PC involves fewer subsequent dressings and shorter heal-ing times as compared to SC.
INTRODUCCION: El sinus pilonidal (SP) es muy frecuente en adolescentes. Tras la escisión quirúrgica no existe consenso sobre qué tipo de cierre es el más idóneo. Nuestro objetivo es comparar resultados del cierre primario (CP) frente al cierre por segunda intención o diferido (CD). MATERIAL Y METODOS: Estudiamos los pacientes intervenidos de SP desde 2013-2018, clasificándolos según el tipo de cierre. Se analizaron la presencia de infección en el momento de la escisión, la tasa de recidiva, el tratamiento antibiótico pre/postoperatorio, el número de drenajes previos y el tamaño del sinus. RESULTADOS: De los 57 pacientes (29 mujeres), 29 fueron tratados mediante CP y 28 con CD. Su edad media fue de 14 años ± 1a en el grupo CP y 16 años ± 1a en el CD. Los pacientes con CP presentaron una tasa de dehiscencia parcial postoperatoria del 26%. No encontramos diferencias significativas en la presencia de infección en el momento de la intervención, en la tasa de recidiva entre ambos grupos, el tratamiento antibiótico postoperatorio, el número de drenajes previos o el tamaño del sinus (p>0,05). El grupo de CD requirió mayor número de curas postoperatorias [4 (0-6) vs. 8 (2-11) (p<0,01)] y mayor tiempo hasta la curación [60 días (9-240) vs. 98 días (30-450) (p<0,01)]. CONCLUSIONES: Uno de cada 4 pacientes con cierre primario del SP presenta dehiscencia parcial postoperatoria. A pesar de ello las curas posteriores y el tiempo de curación son inferiores comparados con el cierre por segunda intención.
Assuntos
Seio Pilonidal/cirurgia , Técnicas de Fechamento de Ferimentos/classificação , Adolescente , Antibacterianos/uso terapêutico , Drenagem/estatística & dados numéricos , Feminino , Humanos , Masculino , Seio Pilonidal/patologia , Recidiva , Estudos Retrospectivos , Deiscência da Ferida Operatória/epidemiologia , Adulto JovemRESUMO
El sinus pilonidal es una patología frecuente cuya malignización es infrecuente aunque su pronóstico puede ser fatal. El objetivo de esta publicación es presentar un caso de un paciente intervenido en múltiples ocasiones de escisiones de sinus pilonidal con degeneración maligna del mismo y evolución fatal, con el fin de recalcar la importancia del examen anatomopatológico sistemático de todas las muestras de escisión quirúrgica. (AU)
The pilonidal sinus is a frequent pathology whose malignization is uncommon although its prognosis can be fatal. The objective of this publication is to present a case of a patient intervened on multiple occasions of pilonidal sinus excisions with malignant degeneration and fatal evolution, in order to emphasize the importance of the systematic pathological examination of all surgical excision samples. (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Seio Pilonidal/cirurgia , Seio Pilonidal/patologia , Carcinoma de Células Escamosas/patologia , Segunda Neoplasia Primária/cirurgia , Seio Pilonidal/mortalidade , Radioterapia , Recidiva , Reoperação , Cisplatino/administração & dosagem , Segunda Neoplasia Primária/mortalidade , Quimioterapia Adjuvante/métodos , Antineoplásicos/administração & dosagemRESUMO
Background: Hidradenitis suppurativa (HS) is infrequent in the pediatric population. When indicated, surgery is often invasive, painful, and with significant recurrence rate. We aimed to report our preliminary experience using a new endoscopic technique to treat this pathology. Materials and Methods: We reported the data of 11 patients (9 girls and 2 boys) with average age of 15.7 years (range 14-17) with HS, who were operated using endoscopic procedure for a 15-month period. Six patients presented axillary, inguinal, and inframammary localizations, 3 patients presented axillary and inguinal localizations, and 2 patients presented only inguinal localization. Pediatric endoscopic hidradenitis treatment (PEHT) followed the same principles of pediatric endoscopic pilonidal sinus treatment (PEPSiT). The fistuloscope was introduced into the different holes, and after using an endobrush, all tracts were cauterized using monopolar electrode or laser energy, and finally the granulation tissues were removed using graspers. At the end of the procedure, all the holes were filled with oxygen-enriched oil-based gel and covered with fat gauze. Results: The average operative time was 47 minutes (range 30-80). All procedures were performed in a day surgery setting or with an overnight hospitalization. All patients reported no pain postoperatively and performed a local dressing with silver sulfadiazine spray and oxygen-enriched oil-based gel two times per day for 1 month postoperatively. At the longest follow-up of 1 year, the lesions were completely healed in all cases. Two patients (18%) developed further lesions in different untreated localizations that were successfully treated using PEHT. Conclusions: PEHT is a minimally invasive, effective, and safe treatment option for pediatric patients with HS. All patients reported a painless postoperative period and excellent results. Postoperative local dressings using oxygen-enriched oil-based gel and silver sulfadiazine spray are fundamental to achieve the complete healing. However, a further evidence with larger series and longer follow-up is required to confirm these preliminary results.
Assuntos
Hidradenite Supurativa/cirurgia , Recidiva Local de Neoplasia/cirurgia , Adolescente , Endoscopia/métodos , Feminino , Hidradenite Supurativa/patologia , Humanos , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos , Recidiva Local de Neoplasia/patologia , Dor Pós-Operatória , Seio Pilonidal/patologia , Seio Pilonidal/cirurgia , CicatrizaçãoRESUMO
The aim of the study was to present the outcomes of topical crystallized phenol application in the treatment of pilonidal sinus disease. Under local anesthesia, a punch biopsy tool is used for the excision of the sinus opening holes; after cleaning the cavity, 150 to 250 mg of crystallized phenol was administered. Three sessions of additional therapy were given one week apart without anesthesia. The technique was well tolerated, and early results were observed two months after the procedure. Recurrence was detected in five patients (11.9%), one of whom underwent two more sessions, resulting in recovery. In the long-term results, 39 patients were available after 16 to 38 months (mean 23.7 months). Of these, recurrence was detected in five patients (12.8%). Analysis of the data was unable to identify significant effects of the characteristics of the disease (primary or recurrent), gender of patients, and the number of opening holes (single or multiple) on early and late recurrence (P > 0.05). A close correlation can be drawn from the early- and long-term results after treatment (P < 0.0001). In this study, the use of the punch biopsy tool in the treatment of pilonidal sinus disease with crystallized phenol was described first. This minimally invasive method achieved excellent aesthetic outcomes, and it can successfully be applied without the need for surgical intervention, especially in patients who are at the initial stage and with small in size openings.
Assuntos
Fenol/administração & dosagem , Seio Pilonidal/terapia , Administração Tópica , Adolescente , Adulto , Biópsia/instrumentação , Cristalização , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Seio Pilonidal/patologia , Estudos Prospectivos , Recidiva , Resultado do Tratamento , Adulto JovemRESUMO
INTRODUCTION: Treatment of the pilonidal sinus, due to various surgical methods, remains the current topic of discussion during surgeon meetings worldwide. The newest methods of treatment consist in the excision and simultaneous closure of the wound with cleft lift procedures. One of such methods is Bascom II procedure which has been widely used in the world but is less popular in Poland. AIM OF THE STUDY: To evaluate the results of treatment of pilonidal cysts using Bascom II procedure performed by one operator. MATERIAL AND METHOD: 50 patients (40 men, 10 women), Avg. 30.6 years of age. All patients treated with Bascom II procedure in one surgical ward by one operator (resident during specialisation training) with the use of uniform surgical care for all operational protocols. The following were assessed: BMI, average hospitalisation time, pain, post-operative complications, wound healing time, patient's quality of life, and the recurrences rate after surgery. The follow-up period ranged from 12 to 52 months. RESULTS: Average BMI 27.13 kg / m2. Avg. time of hospitalisation 2.95 days. Post-operative pain in the first 24 hours was on average 4.55 points. (+/- 2.24 points); on the 10th day on average 2.04 points (+/- 1.58 points); in the 30th day on average 0.76 points (+/- 1.1 points). Pain after healing 0.14 points (+/- 0.40 points). Post-oerative complications occurred in 28.57% of patients [partial wound dehiscence (16.32%), serum leak (10.2%), hematoma (6.12%), total wound dehiscence (0%), wound infection (0%)]. The average time of full healing was 2.94 weeks. Recurrence occurred in one patient (2.04%). CONCLUSIONS: Bascom II procedure is characterised by a low recurrence rate and short wound healing time. It is a a safe, effective and patient-accepted method of treatment. Statistically, it significantly improves the patient's quality of life one year after surgery in terms of both physical and mental health.