Pathophysiology of pain in etiopathogenesis of pilonidal disease in children

Authors

  • V. S. Konoplitskiy National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • V. V. Pogoriliy National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • O. O. Fomin National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • S. D. Khimich National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • O. G. Yakimenko National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • D. V. Dmytriiev National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • S. V. Khimera National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • O.O. Olhomyak National Pirogov Memorial Medical University, Vinnytsia, Ukraine

Abstract

Today pilonidal disease of the sacrococcygeal region is refering to common diseases among children. It occurs in 5 % of the working-age population, which is 15–25 % of all patients in the proctologic hospital and, respectively, 1–2 % of patients in the surgical hospital. Studies were conducted in 86 children (boys – 53, girls – 33) with polonidal disease in the period from 2007 to 2015. The mean age of patients was 15.6 ± 0.3 years. Among the patients, urban residents predominated, who were 62. The amount of rural residents was 24. Operative treatment was performed in 67 children, among them 4 repeated, and 19 patients were treated conservatively at different stages of the disease. It was found that the severity of pain syndrome in the case of pilonidal disease in children directly depended on the stage of the complicated course of the epithelial coccygeal course. Most often, in 32.35 % of cases, acute pain was observed in the area of interannual fold with irradiation of 4.6 % to the lower back, and 2.43 % – to the loin. The study of pathophysiological factors of occurrence and analysis of the characteristic of pain syndrome at different stages of the disease will allow to optimize the therapeutic strategy of pilonidal disease in children.

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References

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Published

2017-03-01

How to Cite

1.
Konoplitskiy VS, Pogoriliy VV, Fomin OO, Khimich SD, Yakimenko OG, Dmytriiev DV, Khimera SV, Olhomyak O. Pathophysiology of pain in etiopathogenesis of pilonidal disease in children. PMJUA [Internet]. 2017 Mar. 1 [cited 2021 Sep. 23];2(1):41-7. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/45

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Original article