“…Today, it can be emphasized that a swift I&D procedure, followed by asymmetrical excision and asymmetrical closure – bringing the scar out of the midline – would and will in fact result in far better long‐term recurrence rates as seen in this study. Even I&D, followed by minimal surgical and outpatient procedures, can be thought of [16]. I&D delays definite surgery by a few weeks, but this can be viewed as useful time for wound preconditioning.…”
Early I&D treatment preceding definite surgery for some weeks seem to give significant superior results compared to primary surgery without I&D. The combination of early I&D and asymmetric excision and out of the midline closure is expected to give even further improved results compared to this cohort. The optimum interval between I&D and definite surgery has still to be determined.
“…Today, it can be emphasized that a swift I&D procedure, followed by asymmetrical excision and asymmetrical closure – bringing the scar out of the midline – would and will in fact result in far better long‐term recurrence rates as seen in this study. Even I&D, followed by minimal surgical and outpatient procedures, can be thought of [16]. I&D delays definite surgery by a few weeks, but this can be viewed as useful time for wound preconditioning.…”
Early I&D treatment preceding definite surgery for some weeks seem to give significant superior results compared to primary surgery without I&D. The combination of early I&D and asymmetric excision and out of the midline closure is expected to give even further improved results compared to this cohort. The optimum interval between I&D and definite surgery has still to be determined.
“…The wounds are left open for secondary healing [27]. An estimated recurrence rate of 7% at 5 years follow-up was reported in longterm follow-up of 257 patients [26].…”
Less invasive pilonidal sinus surgical proceduresMinimally invasive surgery for pilonidal disease is simple, safe, and cost-efficient, with low morbidity, rapid healing, and a rapid return to normal activity. Although recurrence rates seem high at first glance, the procedures can be successfully repeated for recurrences, achieving healing rates of over 90% for 1-2 interventions. Future welldesigned trials are necessary to aid patient selection.
Огляди Читайте нас на сайті: http://med-expert.com.ua О.Б. Боднар, Р.Ю. Рандюк, Б.М. Боднар, Л.І. Ватаманеску, А.В. Бочаров Епітеліальний куприковий хід у дітей: характеристика, особливості, методи лікування ВДНЗУ «Буковинський державний медичний університет», м. Чернівці Висвітлено епідеміологічні, клінічні та діагностичні аспекти епітеліальних куприкових ходів. Проаналізовано сучасні методи діагностики та лікування даної патології. Розкрито проблемні питання рецидивів даного захворювання. Ключові слова: епітеліальний куприковий хід, хіру ргічне лікування, колопроктологія.
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