EFFICIENCY OF COLLAGEN SPONGE IMPREGNATED WITH DOXYCYCLINE IN THE SURGICAL TREATMENT OF THE PILONIDAL SINUS

Abstract

Information about a research study conducted to determine the effectiveness of using doxycycline collagen sponge in the surgical treatment of pilonidal sinus has been provided. The outcomes of 105 patients with pilonidal sinus were analyzed. In 54 of them, the operation was performed by traditional methods (control group), and 51 with the placing of a collagen sponge impregnated with doxycycline in wound cavity and afterwards Limberg plasty was done (main group). The proposed method involves making an incision around the pilonidal sinus extending to the fascia, inserting a doxycycline collagen sponge into the resulting cavity, and performing Limberg flap reconstruction. The results of examination and laboratory tests were proanlyzed in comparative order in patients of the main and control groups 1,3,7 days after surgery. It was found that the rate of complications after surgery was significantly lower in the experimental group (7.8%) compared to the control group (11.1%).