Medicina v Kuzbasse (Jun 2018)
EFFECTIVE METHOD OF THE SURGICAL TREATMENT OF THE CHRONIC SUPPURATIVE-FISTULOUS FORM OF THE EPITHELIAL COCCYGEAL PASSAGE AT THE ABSCESS STAGE
Abstract
Objective – the elaboration of an effective original method for the surgical treatment of the chronic suppurative-fistulous form of the epithelial coccygeal passage at the abscess stage without a damage of the intergluteal fold. Materials and methods. More than 200 male patients operated on for the epithelial coccygeal passage complicated by an abscess were examined and treated in the hospital of the Novokuznetsk City Clinical Hospital № 22 at the Department of Coloproctology. The passage was probed and excised by a patented hollow tube with a cutting edge 5 mm in diameter. Results. An effective one-stage method for the surgical treatment of a suppurative epithelial coccygeal passage without a damage of the intergluteal fold was developed. More than 200 patients were operated on by this method. The average hospital stay was 3.8 days and 5.2 days at the outpatient stage. The total duration of the treatment with subsequent rehabilitation is 9 days as compared with the prototype when treatment takes 26-28 days. Conclusion. The invented original method of operating a suppurative epithelial coccygeal passage with a specially developed cutting tool ensures successful healing of the wound without overlapping rough sutures and allows the patient’s condition to be relieved at the shortest possible terms with the corresponding pathology with the minimized injury of nearby tissues excluding the possibility of the subsequent secondary development of inflammation.
