METHOD FOR SURGICALLY TREATING SUPPURATED EPITHELIAL COCCYGEAL PASSAGE AT ABSCESS STAGE Russian patent published in 2008 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: method involves opening abscess with cutting instrument. Purulent exudate is withdrawn. The passage and primary openings are excised. The suppurating cavity is treated. Draining unit is set into wound cavity. The cavity is treated with antiseptic solution. The wound is washed daily to the end of exudation. Antiseptic bandage is placed. The draining unit is removed. The abscess is opened with 6 mm long incision when having pyogenic abscess to the right or to the left of gluteal fold, and purulent exudate is discharged by means of nozzle. Then, the passage and primary openings are excised with hollow tube. One end of the hollow tube is connected to suction unit and the second one has cutting edge. The abscess being arranged along the gluteal fold, it is opened and excised with hollow tube. The excision is carried out as far as the sacrococcygeal ligament. Exposed tissue fragment is removed. Curette is introduced into pyogenic abscess cavity. One open curette end is connected to suction unit. The other one is blind. It has notch on the lateral surface placed 5-10 mm far from the end. The notch is window-like and has sharp lower edge. The suppurating cavity is treated by sucking off its content and cleaning the surface with cutting edge of the notch. The wound is healed via micro-irrigator after having removed the draining unit. The hollow tube and curette have opening in lateral surface for controlling rarefaction degree when sucking off.

EFFECT: enhanced effectiveness of radical single stage operation; reduced gluteal fold injuries.

3 cl, 2 dwg