Treatment of recurrent pilonidal cysts in children: minimally invasive Gips technique

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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 

Россия

N. 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

Россия

M. 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 

Россия

E. M. Petrov

Ivano-Matreninskaya Children's Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-1083-0951

664009 Irkutsk 

Россия

D. Yu. Khaltanova

Ivano-Matreninskaya Children's Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0001-7018-3007

664009 Irkutsk 

Россия

S. V. Moroz

Ivano-Matreninskaya Children's Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0003-2039-2761

664009 Irkutsk 

Россия

M. L. Kunc

Ivano-Matreninskaya Children's Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-7644-4543

664009 Irkutsk 

Россия

N. I. Mihajlov

Ivano-Matreninskaya Children's Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-7428-3520

664009 Irkutsk 

Россия

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