Treatment of recurrent pilonidal cysts in children: minimally invasive Gips technique
- Authors: Zvonkov D.A.1, Stepanova N.M.1,2, Novozhilov V.A.1,2,3, Mochalov M.N.1,2, Petrov E.M.1, Khaltanova D.Y.1, Moroz S.V.1, Kunc M.L.1, Mihajlov N.I.1
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Affiliations:
- Ivano-Matreninskaya Children's Clinical Hospital
- Irkutsk State Medical University
- Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional Education
- Issue: Vol 27, No 4 (2023)
- Pages: 272-276
- Section: ORIGINAL STUDY
- Submitted: 06.12.2022
- Accepted: 22.10.2023
- Published: 24.10.2023
- URL: https://jps-nmp.ru/jour/article/view/748
- DOI: https://doi.org/10.55308/1560-9510-2023-27-4-272-276
- ID: 748
Cite item
Abstract
Introduction. Currently, long-term outcomes after surgical treatment of pilonidal disease are not always satisfactory. In particular, relapses can reach 40% by different authors and pose a big problem for operating surgeons. Repeated surgical interventions are technically more complicated, often require extensive excision and often lead to rough scars, which worsen cosmetic results. The minimally invasive Gips method has no abovementioned disadvantages and can be used in pilonidal cyst relapses. Purpose. To assess the Gips surgery effectiveness in relapses of pilonidal cysts in children.
Material and methods. 7 children with relapses of pilonidal cysts have been treated with Gips technique in the surgical department of Ivano-Matreninskaya Children's Clinical Hospital (Irkutsk) since January 2020. All surgeries were performed by the generally accepted Gips technique: local infiltration anesthesia with 1% lidocaine solution; fistula excision with a trepan-circular knife and curettage of the pathological cavity. Then, wounds were processed openly with gauze tampons until complete healing.
Results. Gender – 71.4% boys and 28.6% girls. The average age is 16.5 years (12–17 years). Previously performed surgical interventions: excision of the pilonidal cyst – 4 and Gips procedure – 3. Restoration of motor activity – on the first day after surgery. Duration of NSAIDs therapy – 2 days after the procedure. No early postoperative complications were registered. The average length of hospital stay – 4.75 days. Complete healing of postoperative wounds – 4.1 weeks, in average. Catamnesis – 9.5 months , in average; early relapses - in one patient (14.3%).
Conclusion. Minimally invasive intervention for treating pilonidal cysts by the Gips technique can be used both in primary and recurrent forms of the disease. The discussed technique provides good cosmetic results and has a minimal number of postoperative complications.
About the authors
D. A. Zvonkov
Ivano-Matreninskaya Children's Clinical Hospital
Author for correspondence.
Email: denis.zvonkov@mail.ru
ORCID iD: 0000-0002-5541-7335
Denis A. Zvonkov, pediatric surgeon
664009 Irkutsk
РоссияN. M. Stepanova
Ivano-Matreninskaya Children's Clinical Hospital;Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-5821-7059
664009 Irkutsk
664003 Irkutsk
Россия
V. A. Novozhilov
Ivano-Matreninskaya Children's Clinical Hospital;Irkutsk State Medical University;
Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional Education
Email: fake@neicon.ru
ORCID iD: 0000-0002-9309-6691
664009 Irkutsk
664003 Irkutsk
664049 Irkutsk
РоссияM. N. Mochalov
Ivano-Matreninskaya Children's Clinical Hospital;Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0003-4763-8338
664009 Irkutsk
664003 Irkutsk
РоссияE. M. Petrov
Ivano-Matreninskaya Children's Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-1083-0951
664009 Irkutsk
РоссияD. Yu. Khaltanova
Ivano-Matreninskaya Children's Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0001-7018-3007
664009 Irkutsk
РоссияS. V. Moroz
Ivano-Matreninskaya Children's Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0003-2039-2761
664009 Irkutsk
РоссияM. L. Kunc
Ivano-Matreninskaya Children's Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-7644-4543
664009 Irkutsk
РоссияN. I. Mihajlov
Ivano-Matreninskaya Children's Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-7428-3520
664009 Irkutsk
РоссияReferences
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