A MODERN APPROACH TO THE TREATMENT OF PILONIDAL ABSCESS

Abstract

The aim of the study: After simple drainage of a pilonidal abscess, more than 70% of cases quickly develop a relapse or form a chronic sinus, which is why it is necessary to perform repeated operations. Based on the results of existing studies and interpreting the mechanism of the disease, it can be assumed that, if we drain the abscess from the wound obtained with minimal excision of the primary orifices , the probability of recurrence will decrease. The aim of our study was to evaluate the safety and efficacy of drained pilonidal abscess from wound obtained by minimal excision of primary orifices. Results: The study involved 54 patients, including 21 females and 33 males, whose ages varied between 17 - 45. The operation lasted on average 13 minutes, and patients were discharged after 2 hours from entering the clinic. All patients were fully healed. Wound healing duration varied within 21-58 days (on average 34.6 days). Complications were detected in two patients (3,7%), in one case with wound infection (1,85%), and in the second case there was bleeding (1,85%). From a cosmetic point of view, the result was satisfactory for all patients. Two cases of disease recurrence were observed during the study (3.7% recurrence). The average follow-up period amounted to 22 months (10-34 months).Conclusion: Drainage of pilonidal abscess by excision of the primary orifices is an effective and safe method in the treatment of acute pilonidal disease. It is easy to perform, requires little time, the patient does not need to be hospitalized, and is characterized by minimal discomfort. It can be presented as a first-line treatment method for pilonidal abscess.