Modified method of radical excision of epithelial coccygeal passages of median localization

Introduction. The lack of a consensus on the etiology and pathogenesis of the epithelial coccygeal passage has led to the development of a wide variety of surgical treatment methods. However, even this diversity of surgeries does not guarantee a good cosmetic result with no complications and a low risk of recurrence in the long-term postoperative period. The purpose of the study. To improve the results of treatment by developing and implementing a modified method for excising the epithelial coccygeal passage. Material and methods of research. The authors studied the effectiveness of their modified method for excising epithelial coccygeal ducts in the middle position in 36 patients who were operated on between 2021 and 2024. Treatment results. The proposed method improved physical and aesthetic parameters with primary wound healing in all cases, significantly reduced the wound healing time and expanded the angle of the intergluteal cleft. The quality of life assessment showed significant differences in patient groups in physical components and insignificant in psychological components. Conclusion. The proposed technique is characterized by a low percentage of complications in the postoperative period, has a good cosmetic effect and reduces the risk of recurrence due to the alignment of the intergluteal cleft.