TREATMENT OF PATIENTS WITH PILONIDAL SINUS DISEASE COMPLICATED BY MULTIPLE FISTULAS OF THE GLUTEAL- SACROCOCCYGEAL REGION
The article presents the results of treatment of 82 patients with pilonidal sinus disease (PSD) in the stage of chronic inflammation, in which fistulas were located further than 3 cm from intergluteal folds on the inner semicircle of the buttocks: 32 (39.0%) patients treated traditional methods (control group), and 50 (61.0%) patients treated with integrated approach (main group). New treatment tactics and surgery modifications developed with this pathology. It is recommended to identify the risk groups for excess scarring and conduct an anti-scar therapy among patients with PSD. It is shown that such therapeutic tactics allowed to significantly improve the results of treatment of patients with PSD.