Defect of the skin - epithelial coccygeal passage.

Epithelial coccygeal flow, representinga canal or epithelial tube coming from the sacrococcygeal region (which is not directly connected with the coccyx and sacrum) and terminating on the skin, is considered to be a congenital disease, a skin defect formed from incompletely reduced tail muscles. It is assumed that this defect is laid still in the intrauterine stage of fetal development. At present, specialists are no longer so unambiguous in the way the etiology of this disease. And besides the theory of congenital disease, a theory of its acquisition appeared as a result of various external influences. These can be pyoderma, maceration of the skin, trauma and other factors. Perhaps for these reasons, the hair follicle dips into the subdermal layer, where it continues its incorrect growth, and can lead to inflammation and suppuration. But whatever the reasons for the occurrence, there is always only one choice of therapeutic tactics in such a disease as the epithelial coccygeal passage.

Treatment should begin with a diagnosis. It is necessary to conduct a study (sounding of the stroke) and sigmoidoscopy. Additionally, X-ray photography may be needed. If an epithelial coccygeal passage is detected in an asymptomatic form, no special treatment will be required. Unfortunately, there is no way to prevent this disease. Therapy can be carried out only in case of detection of small inflammations (without pus). Then the doctor will prescribe a course of antibiotics.

If an acute pilonidal abscess,epithelial coccygeal ulcers, the treatment can only be surgical. Other options can not be. Disagreements with doctors arise only about the method of conducting the operation. Sometimes open and drain its cavity, and sometimes, remove the entire epithelial coccygeal passage. The operation can proceed in two stages. To relieve pain and inflammation, the hole is first drained, and then, after a few months, the patient is sent for complete removal. In the presence of some additional diseases, and if the patient has a relatively small epithelial coccygeal passage, the operation is performed under local anesthesia. But more often use intravenous (general) anesthesia. On average, the whole process takes no more than twenty minutes. If, for some reason, some part of the stroke is not removed, a relapse will always occur. After the operation, the wound can be sewn or left open. In each of the options there are pluses and minuses. The wounds heal faster, but they are more painful. Open wounds heal much longer, but with little or no pain, and it's easier to care for them.

After the epithelial coccygeal passagewill be removed, the patient is referred to a hospital. Depending on the healing process, the size of the wound and some other factors, it can be under the supervision of the doctor from one to two weeks. During the healing period, a constant examination of the wound and frequent dressings are necessary. If necessary, the use of painkillers. The wound completely heals, depending on its size, on a third, a maximum of six weeks after the operation. The epithelial coccygeal path requires careful hygiene, both before and after the operation. It is necessary to observe a diet and limit the motor activity for a good healing of the joints.

It must be said that this diseasecan lead to very serious complications if you perform non-radical (folk) treatment or self-open an abscess. Every person decides for himself when to do the operation. But with the occurrence of recurrent recurrences, characteristic for this disease, more and more subcutaneous tissue is drawn into the process. New fistulous passages are formed, which in any case will lead to surgery, but will make it immeasurably more difficult. In any case, only after carrying out a large-scale surgery that removes all affected tissues, the most favorable prognosis and complete recovery is guaranteed.