title: [Vacuum-therapy in complex treatment of epithelial coccygeal course].
abstract: OBJECTIVE
  To analyze the outcomes in patients with epithelial coccygeal course (ECC) after original vacuum-therapy.
  
  
  METHODS
  The study included 61 patients with ECC. Patients were divided into 3 groups: 22 patients underwent ECC excision followed by wound closure by Donati, ECC excision with following wound management with ointment swathes was used in 19 cases, vacuum-therapy of open wound was conducted in 20 patients.
  
  
  RESULTS
  In group 1 hospital-stay was 11±1.9 days (ranged 3-20, Me=11), time of complete wound healing - 14.9±4.9 days (ranged 8-49, Me=12.5), early postoperative complications were observed in 5 (22.7%) patients, recurrence - in 3 (13.6%) cases. In group 2 hospital-stay was 13.7±2.6 days (ranged 3-25, Me=15), time of complete wound healing - 74±5,7 days (ranged 35-112, Me=57,0), early postoperative complications were observed in 2 (10.5%) patients, recurrence - in 1 (5.3%) case. In group 3 hospital-stay was 13.9±2.3 days (ranged 5-24, Me=15), time of complete wound healing - 31.1±2.7 days (ranged 15-39, Me=31.0), complications and recurrences were absent.
  
  
  CONCLUSIONS
  Vacuum therapy improves surgical results compared with conventional treatment.
authors.affiliation: Department of surgical diseases, Rostov State Medical University of Ministry of Health of the Russian Federation, Rostov-on-Don, Russia.
authors.forename: M F
authors.initials: MF
authors.lastname: Cherkasov
authors.affiliation: Department of surgical diseases, Rostov State Medical University of Ministry of Health of the Russian Federation, Rostov-on-Don, Russia.
authors.forename: K M
authors.initials: KM
authors.lastname: Galashokyan
authors.affiliation: Department of surgical diseases, Rostov State Medical University of Ministry of Health of the Russian Federation, Rostov-on-Don, Russia.
authors.forename: Yu M
authors.initials: YM
authors.lastname: Startsev
authors.affiliation: Department of surgical diseases, Rostov State Medical University of Ministry of Health of the Russian Federation, Rostov-on-Don, Russia.
authors.forename: D M
authors.initials: DM
authors.lastname: Cherkasov
authors.affiliation: Department of surgical diseases, Rostov State Medical University of Ministry of Health of the Russian Federation, Rostov-on-Don, Russia.
authors.forename: S G
authors.initials: SG
authors.lastname: Melikova
mesh_terms: D000293:Adolescent; D000328:Adult; D019072:Antibiotic Prophylaxis / Q000379:methods*; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004210:Dissection / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000009:adverse effects / Q000379:methods; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D012426:Russia; D012445:Sacrococcygeal Region / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D058106:Wound Closure Techniques; D014945:Wound Healing