FIELD: medicine; colorectal surgery.
SUBSTANCE: under local anesthesia, after opening the purulent focus at the lower edge with a button probe, an inspection of the abscess cavity is performed with the removal of a contra-aperture at the upper point. A Volkmann spoon is used to process and remove the contents of the cavity. The cavity is washed with 3% hydrogen peroxide solution and 10% betadine solution. A device is installed for active vacuum drainage, followed by sanitation of the cavity with a 3% hydrogen peroxide solution, 10% betadine solution through drainage under ultrasound control until the diameter of the cavity is reduced to 1 cm. After removal of the drainage, the cavity is coagulated with a Lakhta-Milon laser in continuous mode with a wavelength of 1,470 nm, power 9 W at a speed of 1 mm/s.
EFFECT: method improves the results of treatment of suppurating pilonidal cyst of the coccyx, shortens the treatment time, prevents relapses of the disease and postoperative complications, and improves the cosmetic result.
1 cl, 1 ex
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Authors
Dates
2024-06-03—Published
2023-03-07—Filed