METHOD FOR OPERATIVE TREATMENT OF COCCYGEAL TRACT IN PATIENTS WITH HIGH NATES AND DEEP INTERGLUTEAL FOLD

摘要

FIELD: medicine, coloproctology.;SUBSTANCE: one should dissect epithelial coccygeal tract and its branches, close operation wound due to applying a suture fulfilled by applying 2 ligatures through the wound transversely. Moreover, the needle with the first ligature should be punctured in and punctured out at the distance of 8 mm against wound's edge; the second ligature at the distance of about 2-3 mm against the wound. Ligatures should be applied along wound's bottom through a sacro-coccygeal ligament, the ligatures being one above another or parallel at the shift of about 3-5 mm, ends of ligatures are loose. Behind the row of sutures in the upper and the lower parts of the wound one should fulfill incision-punctures in skin leaving 2-3 cm against the suture up to the cavity developed while dissecting coccygeal tract and it is necessary to introduce drainage tubes along the sutures. Between punctures in and punctures out at loose ends of ligatures one should apply semitubes from both sides against the wound. At tightening suture ligatures the edges of the wound should be descended up to the bottom to tighten ligatures above semitubes, two ends of ligatures should be cut, between wound's edges up to the bottom it is necessary to apply a gauze filter cloth and tighten two ends of ligatures above it provisionally, through drainages it is necessary to conduct sanitation of inflammation focus and change filter cloths till exudation from the wound stops, then filter cloth and drainages should be removed, edges of the wound should be brought together till coincidence and suture ligatures should be tightened. The present innovation enables to achieve wound healing due to primary traction at developing functional cicatrix and decrease both early and late postoperational complications.;EFFECT: higher efficiency of therapy.;4 dwg, 2 ex