Treatment optimization of patients with epithelial coccygeal passage complicated by an abscess

Abstract

Background: Despite the wide variety of epithelial coccygeal passage treatment methods, the choice of the type of surgery is still an issue to be discussed. It is due to the heterogeneity of the clinical material, the variety of pathological processes and development of the pathology. In spite of the absence of serious complications in most cases, it causes a significant deterioration of life quality and reduction of work capacity in patients of the most active age group. Objective: Improvement of the treatment results of patients with epithelial coccygeal passage complicated by an abscess by means of vacuum therapy of a sutured postoperative wound (Russian Patent 2764499 date 07.04.2021). Material and methods: The study included 59 patients: 19 people in the main group, who underwent surgical treatment of the epithelial coccygeal passage complicated by an abscess, using vacuum therapy according to the proposed method. A retrospective analysis of the medical histories of patients who underwent surgical treatment of the epithelial coccygeal passage complicated by an abscess has been carried out by means of the traditional method of wound closure with drainage. These patients were included in the control group of 40 people. Results: In the control group purulent-inflammatory complications were recorded in 4 (10%) patients. Out of 19 people of the main group operated on according to the method proposed by us, purulent-septic complications were not recorded in any of the patients. Wound bandaging has been performed 71 times in 19 patients of the main group, and 454 times in 40 patients of the control group. For 19 patients of the main group the duration of the antibiotic therapy lasted 96 days, for 40 patients of the control group - 306 days. The average number of bed-days for patients of the control group was 10.63, in the main group - 7.56. Conclusion: The use of the proposed method of surgical treatment of epithelial coccygeal passage complicated by an abscess, by means of vacuum therapy at all stages of treatment, made it possible to improve treatment results in patients of the main group.