Pathophysiology of pain in etiopathogenesis of pilonidal disease in children

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.