METHOD OF TREATING EPITHELIAL-COCCYGEAL PASSAGE COMPLICATED BY FISTULAS OF GLUTEAL-SACROCOCCYGEAL REGION Russian patent published in 2024 - IPC A61B17/00 A61B17/04 

FIELD: medicine; coloproctology.

SUBSTANCE: conducting anesthesia is performed, followed by excision of an epithelial coccygeal passage in a single block with skin and subcutaneous fat. External fistulous openings are excised to subcutaneous fat on the medial and lateral semi-circles of the buttocks. After excision of the epithelial coccygeal passage outside the tissue inflammation zone, the skin and subcutaneous fat are dissected 1 cm laterally from the outermost fistula opening from the intergluteal fold. Then skin with subcutaneous fat is mobilized to an inflammatory process in the form of two triangles, and pathologically changed tissues with previously excised external fistulous holes are removed within healthy tissues. Wound on the gluteal-sacrococcygeal region is closed with an intradermal suture. Rubber strips are introduced through holes of previously excised fistulas into subcutaneous fat for 2–4 hours. Wound after excision of the epithelial coccygeal passage in patients with a flat position of the buttocks is closed by 1/3, with an average position—by 1/2, at high—by 2/3 of wound depth, wherein with long remaining ends of threads wound edges are intracutaneously picked up on both sides, which are brought down without tension and fixed to its bottom, forming an intergluteal fold, leaving open sections of the wound in the form of a rhombus, then an aseptic dressing is applied on the wound.

EFFECT: method enables to completely remove pathologically changed tissues, simplify and reduce the length of treatment of patients and the length of wound healing, as well as reduce deformation of gluteal-sacrococcygeal region, which causes discomfort in patients.

1 cl, 4 ex, 12 dwg