METHOD OF POSTOPERATIVE WOUND CLOSURE FOLLOWING PILONIDAL CYST EXCISION Russian patent published in 2011 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to coloproctology and aims at improved curative surgical results of a pilonidal cyst. It involves excision of the pilonidal cyst. A full thickness cutaneous-subcutaneous graft is mobilised in an inferior angle of a wound at a depth of 2.0-2.5 cm, by transection of connective fusion between skin and immediately above a sacral fascia. A created cavity is drained with a silicone side-hole tube delivered through a counteropening in a superior angle of the wound. Two interrupted absorbable sutures are applied in a frontal plane within the graft. A first suture is applied 2-3 mm above an inferior surface of the graft, while the second one - 5 mm deeper than a skin surface. The wound over the drainage is closed completely bottom-up by interrupted sutures.

EFFECT: method allows reducing rate of postoperative wound complications and recurrences ensured by decreased depth of a gluteal fold and the absence of a V-shaped indrawing in the inferior angle of the wound.

2 dwg, 1 ex