Optimization of surgical treatment of the pilonidal cyst in a military base hospital

The study aimed to develop, evaluate the effectiveness and introduce into surgical practice an improved technique for applying U-shaped sutures with free - lying threads when closing a wound defect after radical excision of the pilonidal cyst. The technique provides an optimal and comfortable treatment process, significantly shortens the length of hospital stay, avoids the need for drainage in the early postoperative period, minimizes the risk of disease recurrence, and achieves aesthetic results. There were no complications in the postoperative period. The duration of the postoperative period was 6-7 days, the sutures were removed on the 8-9th day, on the 10th day the patients were discharged under the supervision of the unit doctor. All wounds healed by primary intention. There were 2 distant relapses (4.2%), which were associated not with the technique, but with the individual characteristics of the architectonics of the tissues of the sacrococcygeal region.

pilonidal cyst, improved surgical technique, wound defect closure, modified sutures, efficiency