FIELD: medicine, coloproctology, surgery.
SUBSTANCE: epithelial coccygeal passage (ECC) is excised. The flap is mobilized along with the fascia of the gluteus maximus muscle. At the bottom of the wound, a plate of MM-gel 1–2 mm thick, previously cut to fit the size of the wound surface, is placed. The formed mobilized flap is moved and fixed with separate interrupted sutures throughout the wound. The gluteal fascia is fixed to its own sacral fascia, followed by layer-by-layer suturing of the wound.
EFFECT: method provides the reduction of the number of relapses of the disease, as well as wound complications, early activation of the patient without increasing the severity of pain in the postoperative period.
1 cl, 2 ex
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Authors
Dates
2023-08-31—Published
2022-10-14—Filed