| Summary: | Background. Of all coloproctological diseases, the pilonidal sinus (also known as
epithelial coccygeal passage) ranks fourth and its prevalence is 20% of all visits to the doctor
with coloproctological diseases. Due to the lack of unified approaches in studying the
etiopathogenesis of this pathology, a wide variety of surgical treatment methods of the
chronic form of this disease emerged. Materials and methods. The results of treatment of
502 patients with chronic pilonidal disease were analyzed. Time needed for healing of
postoperative wounds and relapses of diseases were compared depending on the chosen
method of complex surgical treatment. Results. The number of relapses of the disease in patients,
regardless to the method of radical surgery, did not differ significantly (p > 0.05)
with a statistically significant difference in the healing time of the postoperative defect between
patients who underwent closure of the surgical wound and marsupilization
(p = 0.001), as well as between patients who underwent median closure of the wound and
patients with open management of the surgical defect (p ≤ 0.05). Conclusions. The revealed
data shows the prospects of using the methods of radical treatment of pilonidal disease with
median suturing of the surgical skin defect, provided that postoperative complications are
prevented and the failure of skin sutures or their forced removal is prevented.
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