[Asymmetric excision in treatment of epithelial coccygeal duct]

Results of treatment of 96 patients with chronic fistulous form of coccygeal duct were studied. 42 patients were treated using modified Bascom method (surgical technique is described) formed the main group. 56 patients were operated on using traditional method of coccygeal duct excision and wound closure formed the control group. Pyoinflammatory wound complications were observed in 9 (16.7%) patients from the control group and in 2 (4.7%) patients from the main group. Duration of wound healing averaged 26.4 days in the control group, 13.4 days--in the main group. Coccygeal duct relapse was observed in 6 (11.1%) patients from the control group, in 1 (2.3%) patient from the main group. The modified Bascom technique for coccygeal duct treatment showed certain advantages in cases with unfavourable anatomic features of sacrococcygeal region.