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Konservatif Tedaviye Dirençli Koksidinili Olgularda Cerrahi Tedavinin Etkinliği

The Efficacy of Surgical Treatment in Coccydynia Patients Resistant to Conservative Treatment

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2012

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Keywords (Original Language):

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Abstract (2. Language): 
Purpose: The aim of this study was to evaluate the results of coccyx excision on patients who were resistant to conservative treatment. Materials and Methods: Thirteen patients who did not respond to conservative treatment continued longer than one year were included to the study. Coccyx excision was performed in all patients. Results: The results were excellent in eight (61%), good in three (23%), moderate in one (8%) and bad in one (8%) patient. The patient who had bad result have had an infection. She was cured with wound care and antibiotic treatment. There were no rectum perforation or prolapsus and neighter of the patients required reexcision. Conclusion: The treatment of coccydynia is mainly conservative, but coccyx excision may be an alternative treatment in patients irresponsible to conservative treatment.
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Abstract (Original Language): 
Konservatif tedaviye dirençli olgularda koksiks eksizyonunun sonuçlarının değerlendirilmesi amaçlanmıştır. Hastalar ve Yöntem: Çalışmaya bir yıldan daha uzun süre konservatif tedavi uygulanan ve cevap alınamayan toplam 13 olgu dahil edildi. Tüm hastalarda cerrahi tedavi olarak koksiks eksizyonu uygulandı. Bulgular: Sekiz olguda (%61) mükemmel, üç olguda (%23) iyi, bir olguda (%8) orta, bir olguda (%8) kötü sonuç elde edildi. Kötü sonuç elde edilen olguda aynı zamanda enfeksiyon gelişti. Yara bakımı ve antibiyoterapi ile düzeldi. Ameliyat sonrası dönemde hiçbir olguda rektum yırtığı veya prolapsusu görülmedi. Ayrıca ogularımızda reeksizyon ihtiyacı da olmadı. Sonuç: Koksidini tedavisi esas olarak konservatiftir, ancak konservatif tedaviye dirençli olgularda alternatif tedavi olarak koksiks eksizyonu uygulanabilir.
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  • Turkish

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