Treatment of coccygeal fistula

Saccrococcygeal fistula

Preliminary coccygeal fistula

This technique is only possible if the cyst of the intergluteal sulcus is not infected. the skin preparation consists of taking a shower the day before and the morning of the operation.

Saccrococcygeal cyst surgery technique

The operation consists of resection of all pathological tissue. The incision is more limited due to the non-inflammatory nature of the area. Final healing is faster.
The surgeon usually puts a redon (plastic tube) to prevent the formation of a new collection under the skin that could become infected.

Operative follow-up for saccrococcygeal cyst

On his return from the operating room, the patient has an infusion mainly for analgesics (painkillers). He will be able to eat as soon as he returns to the service. Getting up early is advised to minimize the risk of phlebitis. The redon is removed on D2 or D3 depending on the amount of fluid removed from the wound.
The patient leaves the service on D4 or D5 with a prescription for home nursing care and a prescription for analgesics.
The home nurse monitors the proper evolution of healing. The patient will see the surgeon again one month later.
The sutures are removed at home by the nurse around the 12th postoperative day.

Risks and complications

Bleeding (especially the first few days and not serious).
Wound reopening (frequent but not serious) .
Healing delay.
Remote recidivism.