A new way to eliminate the wound after radical surgical treatment of the epithelial coccygeal tract

Abstract

Background. The problem of eliminating the surgical soft tissue defect after radical surgical treatment of the epithelial coccygeal tract is relevant. The purpose was to develop and clinically test an original method of radical surgical treatment of epithelial coccygeal cysts, in which vertical polyspast sutures are used to eliminate a postoperative wound. Materials and methods. According to the proposed method, 15 patients were operated on. In the postoperative period, an assessment was made of the average time of intervention, an analysis of the presence of postoperative complications, an assessment of the severity of pain on a visual analogue scale, an average length of hospital stay, and an examination of patients 3-7 months after surgery was carried out. Results. The average intervention time was 21±2 minutes. Complications were not recorded. The severity of pain syndrome ranged from 3.6±0.3 to 0.005±0.005 points, depending on the day of the postoperative period. The average duration of hospitalization was 7±1 days. There were no recurrences of the disease within 3-7 months after the operation. Conclusions. The first experience of applying the proposed operation showed the effectiveness of the technique. Further comparison of the results of the proposed technique with those after the use of traditional surgical interventions seems promising.

Keywords

• epithelial coccygeal passage
• epithelial coccygeal cyst
• pilonidal disease
• radical surgical treatment
• elimination of the surgical wound