Markos'yan Sergey Anatol'evich, Doctor of medical sciences, professor, sub-department of faculty surgery, National Research Ogarev Mordovia State University (68 Bolshevistskaya street, Saransk, Russia), E-mail: email@example.com
Background. In recent times, there have been more cases of the children treatment for surgical care with purulent-inflammatory diseases of the sacrococcygeal region. The work aim was to analyze the results of children treatment with this pathology in the Republic of Mordovia.
Materials and methods. It was conducted the analysis of 19 medical cards of inpatients who were on treatment in the surgical department of the Children's Republican Clinical Hospital of the Saransk city in the period from 2015 to 2017. On entering the hospital clinical, laboratory and instrumental examination methods were performed. In the case of surgical treatment of this pathology, histological examination of the removed material was carried out without fail.
Results. It was established that the greatest number of children occurred in adolescence (13-16 years) with some predominance of male. In most cases, an epithelial coccygeal fistula was revealed in the patients, and a pilonidal cyst was less often diagnosed. Of great importance in the correct verification of pathology was the realization of a comprehensive examination, including clinical-laboratory, instrumental and morphological methods of investigation. The choice of the treatment method was primarily determined by the nature of the pathological process, the duration of the disease course, as well as previous therapy.
Conclusions. The most informative instrumental diagnostic method for diseases of the sacrococcygeal region is ultrasound, which allows to evaluate the structure of pathologically altered tissues, the sizes of the formations, and also their connection with surrounding healthy tissues. The use of the "ad massum" electric instrument promotes less traumatic surgical intervention, ensuring sufficient hemostasis and a more radical clear of the epithelial coccygeal path and a pilonidal cyst from the surrounding tissues.
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