SURGICAL MANAGEMENT METHOD OF CHRONIC INFLAMMATION OF EPITHELIAL COCCYGEAL PASSAGE Russian patent published in 2020 - IPC A61B17/00 A61B17/04 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to coloproctology, and can be used for surgical management of chronic inflammation of epithelial coccygeal passage complicated by secondary fistulas of gluteus sacrococcygeal region in patients with high standing of buttocks. Skin and subcutaneous fat is dissected by two semi-oval incisions within healthy tissues and 2–3 cm above and below primary opening of stroke with capturing secondary fistulous passages without opening of their lumen. Pathological focus within the healthy tissues is excised so that in its middle part the depth of excision is maximum, in the upper and lower edges of the incision - minimal, in the form of a navicular wound. In the upper and lower corners of the wound in the perpendicular direction, additional incisions are made on the gluteal region on the side of the lesion with length equal to 1/3 of the buttock height plus the width from the middle line to the edge of the wound. At this length skin with subcutaneous fat is mobilized, subcutaneous fat is not wedge-shaped. Wound is closed by a skin flap with a shifted flap from the bottom to the top: the subcutaneous fat is sutured on 2/3 of the wound with a double absorbable suture. Nasal sutures are fastened. Then ends of the first and second threads on both sides are intracutaneously grasped wound edges, which are reduced and fixed to the bottom of the partially closed wound by binding ends of each thread, obtaining two nodular intracutaneous sutures at distance of 1.5 cm from each other, followed by repetition depending on the length of the wound. Additional incisions of the postoperative wound are closed with intracutaneous suture.

EFFECT: method provides reducing the length of the operation and reducing the length of the postoperative recovery by excising the primary opening of the stroke with capturing secondary fistulous passages without exposing their lumen.

1 cl, 7 dwg, 2 ex