FIELD: surgery; coloproctology.
SUBSTANCE: excision of the sacral fascia flap 2 cm wide, length equal to the length of the bottom of the surgical wound is performed. Along the entire length of the surgical wound, vertical pulley sutures are applied as follows. The needle is injected into the skin flap, stepping back from the edge of the wound. The needle is passed from top to bottom in the thickness of the subcutaneous tissue in the direction of the bottom of the wound, the needle is punctured over the sacral fascia. The sacral fascia flap is sutured from the opposite side from bottom up, after that, the sacral fascia flap is sutured from top to bottom on the side of the initial needle injection. The needle is injected over the sacral fascia flap stitching the subcutaneous fatty tissue from the bottom up from the side opposite to the initial needle injection, and removed through the skin flap symmetrically to the site of the initial injection, stepping back from the edge of the wound. The needle is again injected on the side where it was taken out, so that it comes out in the middle of the dermis layer at the edge of the wound. On the opposite side, the needle is brought to the surface of the skin also through the middle of the dermis at the edge of the wound, after which the ends of the thread are tied.
EFFECT: method reduces the severity of pain in patients in the postoperative period, reduces the healing time of the surgical wound, reduces the likelihood of postoperative complications, leads to improved aesthetic results in the form of the formation of a linear cosmetically beneficial skin scar.
1 cl, 6 dwg, 1 ex
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Authors
Dates
2023-06-23—Published
2022-11-14—Filed