THE COMPARATIVE ANALYSIS OF SURGICAL TREATMENT RESULTS OF RECURRENT PILONIDAL SINUS DISEASE

The article is devoted to discuss the results of radical surgical treatment of 57 patients with recurrent pilonidal disease. Patients with pilonidal disease were divided into the control and main groups. Thus, 31 (54.4 %) patients composed the control group of patients who were treated by wide excision with wound closure, while 26 (45.6 %) patients composed the main group of patients who were treated by Bascom's procedure (cleft lift procedure). The results of treatment patients were following for 1?3 years. There were 23 (74.2 %) complications in patients of the control group: wound abscess (16.1 %), primary wound dehiscence (16.1 %), secondary wound dehiscence (19.4 %), wound hematoma (12.9 %) and repeat recurrent of disease (9.7 %). There were 3 (11.5 %) complications in patients of the main group: wound abscess (3.8 %), secondary wound dehiscence (3.8 %) and wound hematoma (3.8 %). There was no repeat recurrent of disease after Bascom's procedure. The using cleft lift procedure (Bascom's procedure) permits essentially decrease (χ2 = 22.4; Р=0,001) frequency of postoperative complications in patients with recurrent pilonidal disease.