If, due to blockage or mechanical damage, the epithelial coccygeal tract becomes inflamed, the healing can only be surgical. Otherwise, severe pain and monthly cleaning are expected.
The epithelial coccygeal duct, which is a channel or an epithelial tube that runs from the sacrococcygeal region (not specifically related to the coccyx and sacrum) and terminates on the skin, is usually considered a born disease, a skin imperfection formed from incompletely reduced tail muscle. It is understood that this deficiency is pawned at the intrauterine stage of fetal development. At the current time, specialists are not so unambiguous in the method of the etiology of this disease. And apart from the theory of a born disease, there was a theory of its acquisition as a result of various external influences. These can be pyoderma, skin maceration, trauma and other causes. Perhaps, for these reasons, the hair follicle dips into the subdermal layer, where it continues its own incorrect growth, and can lead to inflammation and suppuration. But whatever the prerequisites for appearance, there is always only one choice of a healing strategy for a disease such as an epithelial coccygeal.
Healing should begin with a diagnosis. It is absolutely necessary to conduct a study (sounding of the stroke) and sigmoidoscopy. Additionally, radiography may be useful. If an epithelial coccygeal passage is detected in an asymptomatic form, no special healing will be needed. Unfortunately, there are no methods of preventing 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 medicines.
If an acute pilonidal abscess has begun, the epithelial coccygeal course has become festered, the healing can only be surgical. Other options can not be. Disagreements with doctors appear only about the method of carrying out the operation. From time to time, open and drain its cavity, and from time to time, remove the entire epithelial coccygeal passage. The operation can take two steps. To relieve pain and inflammation, the opening is initially 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 entire process takes less than 20 minutes. If, for any reason, some part of the stroke is not removed, there will certainly be a relapse in the forthcoming. At the end of the operation, the wound can be sewn or thrown open. In each of the options are their pros and cons. Sewn faster healing, but they are more painful. Open wounds heal much longer, but virtually without pain, and care for them is easier.
After the epithelial coccygeal is removed, the patient is referred to the hospital. Depending on the healing process, the size of the wound and some other reasons, it can be under the supervision of the doctor from one to two weeks. During the healing period, a permanent examination of the wound and frequent dressings. As necessary, there may be the use of painkillers. The wound completely heals, depending on its size, on a third, a maximum of six weeks after surgery. Epithelial coccygeal groove asks for observance of painstaking 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 sutures.
It should be said that this disease can lead to very severe complications if you conduct non-radical (folk) healing or, without the help of others, open an abscess.
Everyone decides for himself when to do the operation. But with the appearance of recurrent relapses corresponding to this disease, 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 appropriate prognosis and complete cure are guaranteed.
Health. Sumy. Ua.