EFFECTIVE METHOD OF THE SURGICAL TREATMENT OF THE CHRONIC SUPPURATIVE-FISTULOUS FORM OF THE EPITHELIAL COCCYGEAL PASSAGE AT THE ABSCESS STAGE
Main Article Content
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.
Keywords
Author Biographies
Владимир Павлович Ревицкий,
doctor of the highest category, coloproctologistВера Ивановна Латынина,
doctor of the highest category, coloproctologistТатьяна Константиновна Ядыкина,
candidate of biological sciences, leading researcher, laboratory for medical and genetic studiesСергей Николаевич Филимонов,
Filimonov Sergey Nikolaevich
M.D., Ph.D., Professor. Chief.
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Dultsev YuV, Rivkin VL. Epithelial coccygeal passage. Moscow: Medicine Publ., 1988. 128 р. Russian (Дульцев Ю.В., Ривкин В.Л. Эпителиальный копчиковый ход. М.: Медицина, 1988. 128 с.)
Vorobyev GI. Basics of coloproctology. Rostov-on-Don: Phoenix Med. Publ., 2001. 413 p. Russian (Воробьев Г.И. Основы колопроктологии. Ростов-на-Дону: Феникс, 2001. 413 с.)
Pomazkin VI, Mansurov YuV. Choice of operation for treatment of the patients with epithelial coccygeal passage. Herald of surgery named after II Grekov. 2008; 167(1): 85-87. Russian (Помазкин В.И., Мансуров Ю.В. Выбор операции для лечения больных с эпителиальным копчиковым ходом //Вестник хирургии им. И.И. Грекова. 2008. Т. 167, № 1. С. 85-87)
Revitsky VP, Latynina VI. Method of surgical treatment of suppurative epithelial coccygeal passage at the abscess stage. Patent RU No. 2319455 20.03.2008. Russian (Ревицкий В.П., Латынина В.И. Патент RU № 2319455. Способ оперативного лечения нагноившегося эпителиального копчикового хода на стадии абсцесса. 20.03.2008)
Rivkin VL, Fain SN, Bronshtein AS, An VK. Guidelines for Coloproctology. Moscow: Medpraktika-M Publ., 2004. 488 р. Russian (Ривкин В.Л., Файн С.Н., Бронштейн А.С., Ан В.К. Руководство по колопроктологии. М.: Медпрактика-М, 2004. 488 с.)
Denisenko VL, Optimization of treatment of epithelial coccygeal passage complicated by abscess. Surgery news. 2008; 16(1): 55-61. Russian (Денисенко В.Л. Оптимизация лечения эпителиального копчикового хода, осложненного абсцессом //Новости хирургии. 2008. Т. 16, № 1. С. 55-61)
Lavreshin PM, Gobedzhishvili VK, Aliev MMO, Khutov AB, Murtazaev TS, Lavreshin MP. The method of surgical treatment of the epithelial coccygeal passage complicated by multiple fistulas. Herald of surgery named after II Grekov. 2007; 166(4): 63-65. Russian (Лаврешин П.М., Гобеджишвили В.К., Алиев М.М.О., Хутов А.Б., Муртазаев Т.С., Лаврешин М.П. Способ хирургического лечения эпителиального копчикового хода, осложненного множественными свищами //Вестник хирургии им. И.И. Грекова. 2007. Т. 166, № 4. С. 63-65)
Matveyev AI, Matveyev IA, Drozdetsky NI, Mazarak MS. Modified method of suturing the wound of the intergluteal fold after excision of the suppurated epithelial coccygeal passage. Medical science and education of Ural. 2008; 9(5): 28-29. Russian (Матвеев А.И., Матвеев И.А., Дроздецкий Н.И., Мазарак М.С. Модифицированный способ ушивания раны межъягодичной складки после иссечения нагноившегося эпителиального копчикового хода //Медицинская наука и образование Урала. 2008. Т. 9, № 5. С. 28-29)
Brieler H. Der infizierte Sinus pilonidalis. Langenbecks-Arch. Chir. Kongressbd. 1997; 114: 497-500
Bascom J. Pilonidal sinus: experience with the Karydakis flap. Br. J. Surg. 1998; 85(6): 874