KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT VIÊM NANG LÔNG VÙNG CÙNG CỤT TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Pilonidal sinus disease (PSD) is a chronic inflammatory condition of the sacrococcygeal region, mainly occurring in young people, a heterogeneous group of diseases, diagnosis is mainly based on clinical and there is no consensus on treatment methods. The study aims to describe some clinical and paraclinical characteristics and evaluate the results of surgical treatment of sacrococcygeal folliculitis at Viet Duc Friendship Hospital. Subjects and methods: Retrospective study of medical records of 48 patients (38 males, 10 females, aged 15 to 39) with pilonidal sinusitis who underwent surgery at Viet Duc Friendship Hospital from June 2018 to June 2023. Results: The disease occurs mainly in men with a male:female ratio of approximately 4:1. The average age is 21,7±5,8 years old. Overweight and obese patients accounted for nearly half of the study population (41,7%). Common clinical symptoms include pus discharge in the sacral region (85,4%), hair in the cyst (87,5%), pain (83,3%), skin fistula in the sacral region (75%), swelling (60,4%). The average healing time and recurrence rate of the surgical methods performed, open incision/complete excision to leave the wound open was 5,6±4,2 weeks, no recurrence was recorded; total excision of the inflamed sinus with wound closure with sutures on the midline was 5±2,1 weeks, recurrence rate was 5,3%; total excision of the inflamed sinus with wound closure with sutures outside the midline (Karydakis technique) was 7,6±4,3 weeks, no recurrence was recorded; endoscopic surgery of the fistula was 5,3±2,9 weeks, recurrence rate was 27,3%. The shortest healing time was 14 days. 100% of the pathological lesions were benign, no malignant cells were detected. Treatment results: 44/48 (91,7%) were cured, 4/48 (8,3%) relapsed. Average healing time was 5,5±3,4 weeks. Conclusion: total sinusectomy to open the wound and cut the entire fistula, closing the incision with sutures outside the midline is a simple, safe and effective technique in the treatment of pilonidal sinusitis in the sacrococcygeal region.