SU1286171A1 - Method of surgical treatment of epithelial coccygeal passage - Google Patents

Abstract

This invention relates to medicine, in particular to surgery and proctology. The aim of the invention is to reduce the number of postoperative complications, to shorten the duration of treatment, which is achieved by a more anatomical restoration of the inter-annual fold. After excision of the epithelial coccygeal passage within healthy tissues, an additional wedge-shaped flap of subcutaneous fat on both sides of the wound is excised so as to ensure sufficient mobility of the skin edges that are displaced to the bottom of the wound and not interrupt their blood supply. When the edges of the wound are hemmed, the bottom of the wound is worn, taking into account the capture of tissues closer to its opposing wall. The skin flap is hemmed to the bottom of the wound with recurrent sutures with a re-gripping of the skin edge and thus a good fit of the wound surfaces is formed without nosing and cavities, and the edges of the hemmed skin are screwed. By tightening the seams, the wound remains narrow no more than 0.3-0.5 cm. (L

Description

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This invention relates to medicine, in particular to surgery and proctology.

The purpose of the invention is to reduce the number of postoperative complications and shorten the treatment time, which is achieved by a more anatomical restoration of the inter-annual fold.

Figure 1 shows the excision of subcutaneous fat wedge-shaped flap; figure 2 - filing skin wound return seams.

In the drawings: 1 - tailbone, 2 - subcutaneous fat tissue, 3 - wedge-shaped incisional flap, 4 - recurrent suture, 5 - bottom of wound.

The method is carried out as follows.

After excision of the epithelial coccygeal passage within healthy tissues, an additional wedge-shaped flap of subcutaneous fat on both sides of the wound is excised so as to ensure sufficient mobility of the edges shifted to the bottom of the wound and not disturbing their blood supply. When the edges of the wound are hemmed in, the bottom of the wound is stitched, taking into account the capture of tissues closer to its opposing wall. The skin flap is hemmed to the bottom of the wound with recurrent sutures with a re-gripping of the skin edges and thus a good fit of the wound surfaces is formed without nosing and cavities, and the edges of the hemmed skin are screwed. By tightening the seams, the wound remains narrow no more than 0.3-0.5 cm.

Example. Patient A., 26 years old, was admitted to the hospital with a diagnosis of a chronic epithelial coccygeal duct. Surgery - excision of the epithelial coccygeal passage with filing the edges of the wound to the bottom

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return seams. After an economical excision of the pathological focus with two longitudinal-oval cuts with the removal of the side walls and skin with three primary openings, the subcutaneous fat was cut with a wedge-shaped flap on both sides of the wound. The edges of the skin are stitched to the bottom with recurrent stitches, taking into account that a narrow strip at the bottom of the wound between the edges of the skin is 0.3 cm. A cotton-gauze pad is placed between the buttocks. First dressing the next day, after which the patient is allowed to walk. The stitches were removed on day 7, the postoperative course was without complications. The patient was discharged 5 on the 11th day, outpatient follow-up care until the wound was fully epithelized was 6 days. Dynamic observation for 3 months showed that there are no remote complications.

The proposed method allows to significantly reduce the number of postoperative complications, in particular the development of hematoma and suppuration, seam divergence and necrosis of the hemmed skin. It helps to reduce the recurrence of the disease and the length of stay of patients in the hospital and clinic.

Claims (1)

Invention Formula The method of surgical treatment of epitapial Q. of the coccygeal process, including its excision and podshhapapie wound edges to the bottom, characterized in that, in order to reduce the number of complications and shorten the treatment time, the wound edges are further excised from the subcutaneous fat, hemming the edges of the crayfish to the color coats imposes recurrent HjBbi with re-gripping the skin edge. 0 five Fy Compiled by I. Tsarkov Editor L.Pcholnska Tehred I. VeresKorrektor G. Reshetnik Order 7643/3 Circulation 617 Subscription VNIIPI of the USSR USSR State Committee on Happy Inventions and Discoveries 11 i 13035, Moscow, F --- 35, Raushsk iab., 4, 5 Production and Printing Enterprise, Uzhg (; clan, Proektna St., 4 I "Y. 2