It is a chronic inflammation caused by the trapping of hair in the soft tissues under the skin and inside a bladder, ie in a sac with a fibrous wall.
Due to chronic irritation, the coccygeal cyst gradually expands under the skin creating separate tunnel-like communications covered with fibrous tissue (fistulas). Its gradual development may not be noticed by the patient for a long time until a fistula erodes the skin at some point to make it visible. However, there are cases where the coccygeal cyst presents directly with an abscess.
Patients with coccygeal fistula may have no pain at all or mild to moderate pain. The fistula may also be dry or secrete fluid. These fistulas tend to fluctuate in size or cause a coccygeal cyst abscess if they become infected, so they should be treated with a laser as soon as possible.
“The older open technique (with a scalpel) has serious drawbacks such as severe postoperative pain and a large crater-like tissue gap with slow and painful healing. The care of the open surgery wound imposes significant restrictions on the patient and his family “, points out Mr. Aristotelis Kechagias, MD, PhD, FACS, Specialist in Advanced Laparoscopic & Minimally Invasive Laser Surgery, Metropolitan Surgeon Assistant General.
In contrast, the most modern method of treating coccygeal cyst is the Minimally Invasive Laser Technique (FiLaC Technique). This technique has several advantages over which the use of open surgery should have disappeared. The laser is based on a device for circulating emitted concentrated light and easily destroys the coccygeal bladder without leaving a wound. That is, it enters all the cavities and fistulas that make up the coccyx cyst and inactivates them, while maintaining the adjacent skin avoiding the formation of a “crater”.
More specifically, the benefits of laser technology can be summarized as follows:
• The operation is very short, bloodless and painless.
• No surgical trauma is created.
• No painkillers needed after surgery.
• The patient returns to his normal daily life immediately after the operation as if nothing had happened.
• Recovery of the treated area is rapid and does not require special care.
• The aesthetic result is excellent.
In conclusion, coccygeal cyst is one of the most common diseases and afflicts more and more, mainly young people, due to the increase in sedentary lifestyle. Laser coccygeal surgery (FiLaC Technique) is the most advanced version of treatment as it has the properties that modern man seeks: it is fast, painless, with rapid recovery.
“It is worth noting that the shape, size and location of the coccygeal cyst vary from patient to patient. Therefore, the experience of the surgeon is a determining factor for a successful surgery, as well as the quality of the laser device used “, concludes Mr. Kehagias.
Writes:
Mr. Aristotelis Kechagias, MD, PhD, FACS,
Specialist in Advanced Laparoscopic & Minimally Invasive Laser Surgery, Associate Surgeon at Metropolitan General
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