WOFAPS 2025 8th World Congress of Pediatric Surgery

Igor Kirgizov ¹, Sergey Minaev ², Artem Efremenkov ¹, Igor Gerasimenko ², Aleksandar Zykin ¹

¹ Russian Medical Academy of Continuing Professional Education
² Stavropol State Medical University

Despite the wide range of epithelial coccygeal passage (ECP) treatments, none of the existing approaches can be considered universal and practical. Objective: To increase the effectiveness of ECP treatment in children. Materials and methods: From 2016 to 2023, 97 children with epithelial coccygeal passages were treated. Patients were divided into two groups: Group 1 - patients with the traditional method of tightly suturing the postoperative wound (n-52), Group 2 - patients operated on using the technique developed by us: suturing the edges of the skin to the bottom of the wound in a checkerboard pattern using laser marking of the surgical field (n-45). Results: In Group 1, complications in seromas, hematomas, and wound edge divergence were observed in 20 (38.5%) patients. In Group 2, such complications were recorded statistically less frequently (p<0.05) - in 7 (15.4%). Relapses of the disease were noted statistically more frequently (p<0.05) in 14 (26.9%) patients of Group I than in 2 (4.4%). Conclusion: As a result of using our technique, patients who underwent surgery showed a decrease in relapses and complications compared to those who operated using the traditional method.