[Treatment of epithelial coccygeal fistula]

Analysis of treatment of 822 patients with epithelial coccygeal fistula has demonstrated that purulent complication is indication for primary radical surgery. Number of complications and recurrences decreases if the first focus of inflammation is treated and epithelial fistula is resected after healing of the wound. Anaerobic inflammation is seen in 0.4% patients with purulent epithelial coccygeal fistula. These patients require radical resection of affected tissues and general intensive therapy. There were no lethal outcomes after treatment of inflammatory complications. Hospital stay was 7.7 bed-days. All the surgical methods have disadvantages. Proposed method demonstrates the best results. Suppuration of the wounds was seen in 0.7% cases, recurrences -- in 1.1% patients.