Features of treatment of children with epithelial coccygeal course, which enable to obtain a satisfactory result
DOI:
https://doi.org/10.15574/SP.2022.121.55Keywords:
epithelial coccygeal course, children, treatmentAbstract
For 10 years (2010-2020) 46 children with epithelial coccygeal course were treated. 40 (87%) had coccygeal cysts with coccygeal fistula, 6 (13%) had no fistula. The number of boys prevailed - 32 (67%), girls - 14 (33%), which corresponds to the literature. By age, patients were distributed: up to 10 years - 6 (13%) patients, 10-14 years - 8 (17%), from 14 years - 32 (70%) patients.
The number of purulent complications during this period has halved (from 12% to 6%). Since the nature of the applied surgical interventions during this time has not changed significantly, the positive result, according to the authors, was achieved due to the improvement of old and introduction of new methods of pre- and post-operative periods. The detailed analysis of preoperative preparation is carried out in the work, some stages of operative intervention are reflected, the rules of conducting the postoperative period are detailed.
Emphasis is placed on the importance of the following methods of treatment of children with epithelial coccygeal course.
Before surgery: fistulography as an extremely important method of diagnosis; the use of hypoallergenic depilatory creams to prepare the operating field.
Surgery: performing and completing the operation without ligatures in the surgical wound due to careful hemostasis, which prevents the occurrence of ligature fistulas in the postoperative period.
After surgery: a ban on sitting for two weeks and following the rules of asepsis in the area of the surgical wound provides, as a rule, primary healing.
Fulfillment of these features in the treatment of children with epithelial coccygeal course allows to obtain a satisfactory end result.
The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
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