FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely colorectal surgery, and can be used to treat pilonidal coccyx cyst. The method includes laser ablation of the cavity and fistula passages. Under local anesthesia, after excision of the primary fistula opening, a button probe is used to inspect the fistula passage with the removal of a counterincision at the upper point of the fistula. With a small curet, the contents of the fistula passage with granulations are processed and removed. The cavity is washed with a solution of aqueous chlorhexidine. Under ultrasound control, a ligature is subcutaneously passed and tightened around the cavity formed in the fistula course, reducing the cavity of the fistula course. The cavity of the fistula passage is coagulated with a laser in a continuous mode with a wavelength of 1470 nm, a power of 9 watts, at a speed of 1 mm/s.
EFFECT: method provides improvement of treatment results, reduction of treatment time, prevention of relapses of the disease and postoperative complications, as well as improvement of cosmetic results due to laser radiation and the use of subcutaneous ligature.
1 cl, 1 ex
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Authors
Dates
2022-03-28—Published
2021-07-19—Filed