摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, namely to coloproctology and deals with treatment of pilonidal cyst. Method includes excision of pilonidal cyst, bringing wound edges to wound bottom and partial suturing of wound with single ""-shaped sutures without tension, carrying out antibiotic therapy. Before bringing wound edges to wound bottom on its lateral surface from the side of subcutaneous adipose cellular tissue made are 0.5 cm deep linear cuts along entire wound length at the distance 0.5 cm from the skin surface. At the distance 1.0-1.5 cm from post-operative wound edges at the level of wound bottom symmetrically from two sides installed are polychlorvinyl tubes equal in length to the wound length, with holes on the lateral surface, located in each 2 cm. In order to carry out immunotherapy, patient's blood is sampled, its cell masses are separated by centrifugation. Erythrocyte mass is returned to patient. Remaining cell mass is cultivated with 500000 U of interleukin-2 for 60 minutes at temperature 37C, centrifuged with separation of supernatant fluid. Supernatant fluid, which contains complex of autologous cytokines, is introduced through tubes in volume 5 ml per each 2 cm of wound length on the first and third day after operation. ^ EFFECT: method ensures adequate immune sanitation of post-operative wound area, reducing risk of formation of cavities of wound edges and necrosis of wound edges. ^ 2 cl, 3 dwg, 1 ex |