METHOD FOR SURGICAL MANAGEMENT OF EPITHELIAL COCCYGEAL PASSAGE Russian patent published in 2022 - IPC A61B17/00 A61B18/20 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to colorectal surgery, and can be used for treating epithelial coccygeal passage. Method involves laser ablation of the cavity and fistulous passages, under local anesthesia, after excising the primary fistulous opening. Button-like probe is used to inspect a fistulous passage with a counteropening in an upper point of the fistula. Folkman's spoon is used to process and remove the contents of the fistulous passage with granulations. Cavity is washed with a solution of aqueous chlorhexidine; under ultrasound control of tumescent anesthesia, a sleeve is created, which reduces the cavity of the fistulous passage. Cavity of the fistulous passage is coagulated with a laser in a continuous mode of wave length 1,470 nm, power 9 W, at rate of 1 mm/s.

EFFECT: method provides improved results and reduced length of treatment, prevented recurrences of the disease and postoperative complications, as well as improved cosmetic results due to tumescent anesthesia and laser coagulation of the fistulous passage cavity.

1 cl, 1 ex