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Removal of the coccyx: the operation, impact, video

Removal of the coccyx is a radical procedure aimed at the complete extirpation of the affected lower end of the spine surgically. The grounds for such operations as injury of the Appendix, and the aggravation of the congenital abnormalities of coccygeal structures and tissues. Resection of the coccyx is assigned only when the causes of pain in the coccyx, not amenable to therapeutic treatment. In addition, removal may be recommended if a high percentage of repeated relapses of the disease of the coccyx. Talk about which readings are direct to operation to removal of the Appendix with what consequences resection may face operated.

udalenie kopchika

Indications for removal

The feasibility of resection of the coccyx is considered by the surgeon individually for each case. To drastic measures go only after therapeutic interventions (physiotherapy, acupuncture, application of termobahia, etc.), conducted over several months, have not yielded positive results. Often, removal of the coccyx (coccygectomy) is required if the patient is diagnosed:

  • Acute or chronic primary coccygodynia (pain in the coccyx). While the diagnosis is carried out, removing only untreatable, carrying the inconvenience of part of the coccyx;
  • Epithelial pilonidal sinus (cyst tailbone). Any stage of the disease requires immediate surgical intervention;
  • Sacro-lumbar osteochondrosis, which is accompanied by severe pain in the region of the end bone of the spine;
  • Abnormal mobility of the coccygeal structures, caused by degenerative-dystrophic changes in the tissues of the lumbosacral;
  • Orthopedic defects of the pelvis in the sacral region, which affect the quality of human life (breaking motor function of the lower extremities, causing pain);
  • The deviation of the coccygeal segments, the treatment of which is medically impossible.

In addition, the procedure can be assigned to women who have had fractures of the coccyx and planning to have a natural birth, as during childbirth in these patients there may be severe pain in the coccyx due to the pressure of the fetus. Partial removal of the Appendix is assigned for severe sprains.

Contraindications to surgery

The operation of resection has a number of contraindications, which depend on the current state of patient and anamnesis of disease. So, coccygectomy can be assigned only when the patient has passed pre-treatment, which did not give the expected results, and pain in the area of the Appendix is not relieved by non-steroidal anti-inflammatory drugs. In addition, acute diseases of the distal spine may not be sufficient for removal of the Appendix if the patient:

  • Diseases associated with disruption of the immune and blood (especially hemophilia), heart muscle;
  • Violations of one or more functions of the liver;
  • Cancer.

Coccygectomy not can be carried out if the patient has a hypersensitivity any type of anesthesia (surgery is only performed under anesthesia).

The postoperative period

Modern techniques that are applied during removal of the coccyx, allow to fully preserve the health of the musculoskeletal system of the patient.

Resection of the coccyx is a safe procedure, the effects of which can be minimized subject to a patient in the postoperative period, all medical prescriptions.

So, in the first four days of the recovery period the patient is assigned to strict bed rest. With the approval of the attending physician, after this period it operated allowed to stand up and walk. To sit, while it is prohibited in the following three weeks after the resection. In addition, during the period of rehabilitation the patient should undergo physiotherapy treatments aimed at the rapid healing of postoperative wounds, to drink a course of antibiotics, if necessary painkillers.

Unpleasant sensations in the site of the intervention disappear completely six months after surgery. From this moment operated can get back to normal life: without restrictions to engage in active physical activities.

Possible complications

The presence of pain in the region of a remote process with prolonged sitting, standing, serious physicalloads indicate postoperative complications. In such cases, patients without delay should contact the clinic and pass a full medical examination to identify the cause of the pains. The most common complications after removal of the coccyx are:

  • Fistulas (inflammatory and suppurative processes);
  • Recurrence of pilonidal sinus disease (may occur because of incomplete removal of the cyst);
  • The development of stagnant phenomena in lungs (effects of anesthesia);
  • Necrosis of the wound edges (exposed smokers, patients with diabetes).

Minor complications, which are treated with medicines include:

  • Hematoma;
  • Seroma;
  • Severe scarring.

Due to the negligence of the surgeon can cause bleeding, damage to nerves, the rectum and pararectal cellulose (removed by surgery), the consumption of seams (eliminates re-suturing of the wound edges).

opasnost pri provedenii operacii

To reduce discomfort during the diagnosis of complications, the patient is prescribed a course of painkillers. Decisions regarding further treatment are taken by the attending physician and abdominal surgeon based on medical history, analysis of the patient's subjective testimony.