RESUMEN
OBJECTIVE: To compare the effectiveness of two surgical techniques in patients with pilonidal sinus. MATERIAL AND METHODS: There were 117 patients with pilonidal sinus divided into 2 groups depending on surgical approach: main group - Limberg Flap reconstruction (n=62), control group - conventional suturing of sinus (n=55). Patient data were analyzed using SPSS software. RESULTS: Mean length of hospital-stay in the main group was 8.2 days, in the control group - 5.4 days. Pain syndrome was more significant after 1 postoperative day in the main group. Three days later, severity of pain was similar in both groups. In the main group, sutures were removed after 13 days, in the control group - after 8 days. Incidence of postoperative wound infection was 3.2% in the main group and 14.5% in the control group. Long-term postoperative recurrence occurred in 1 patient of the main group and 6 patients of the control group. CONCLUSION: Limberg flap reconstruction is followed by fewer postoperative complications and recurrences. However, period of rehabilitation and wound healing is longer compared to traditional technique.
Asunto(s)
Seno Pilonidal , Humanos , Tiempo de Internación , Recurrencia Local de Neoplasia , Seno Pilonidal/cirugía , Colgajos Quirúrgicos , Cicatrización de HeridasRESUMEN
Laser doppler flowmetry is a way to identify predictors of diseases and complications associated with blood supply disorders. Registration of absolute values for results of this method allows to eliminate the subjective factor. Previous studies demonstrate the possibility of using this technique in clinical practice. The effectiveness for assessing the quality of blood supply of the tissues requires further studying.