Tactical and technical approaches to the treatment of patients with epithelial coccygeal passages

Epithelial coccygeal passagesare widespread in pathology. The diagnosis of this pathology has no special difficulties. The problem is the choice of the treatment method and the rehabilitation of patients during the postoperative period when applying the primary stitches in a wound after the excision of a high percentage of complications and relapses. The use of techniques of filing edges towards the bottom of the skin wound healing of deadlines is accompanied by an increased period of rehabilitation up to 1.5 months and more. The open method of keeping the wound is characterized by a minimum percentage of relapses, but wound healing time increases from a few months to a year. Plastic surgery with the closure of wounds displaced flap did not find wide application. Therefore, in each case, specialists select the best tactical and technical approach, depending on the situation.