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Annotation: Epithelial coccygeal passage (ECP) is one of the most discussed topics in proctology. Despite the fact that modern surgery presents numerous modifications of reconstructive operations, some surgeons adhere to the tactics of the excision of the passage with its primary closure, without plastic surgery.This work is aimed to demonstrate the results of the excision of ECP with primary closure in comparison with excision with the classical Limberg flap wound closure reconstruction. The research included 10 patients, 8 of which were men – 80% and 2 women – 20%. The average age of the patients is 37 years old. At the end of the work, one recurrence was received.

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List of used literature1. Arnous M, Elgendy H, Thabet W, Emile SH, Elbaz SA, and Khafagy W. Excision with primary midline closure compared with Limberg flap in the treatment of sacrococcygeal pilonidal disease: a randomised clinical trial. The Annals of The Royal College of Surgeons of England. The Bulletin -2019.№9. - p.17-23. doi: 10.1308/rcsann.2018.01442. N Rashidian 1, J Vahedian-Ardakani, M Baghai-Wadji, M R Keramati, A Saraee, K Ansari, A A Adman. How to repair the surgical defect after excision of sacrococcygeal pilonidal sinus: a dilemma.// Colorectal Disease Resident of General Surgery, Iran University of Medical Sciences, Tehran, Iran. 2010. № 17.-p.37-41. DOI:10.12968/jowc.2014.23.12.6303. J Horwood 1, D Hanratty, P Chandran, P Billings. Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials.// of Wound Care. Department of General Surgery, Wrexham Maelor Hospital, Wrexham, UK. 2012. №5- p.89-96. DOI: 10.1111/j.1463-1318.2010.02473.x4. Klinikum Graz, Klinische Abteilung für Plastische, Ästhetische und Rekonstruktive Chirurgie, Universitätsklinik für Chirurgie, Graz, Austria. S Dahmann 1, P B Lebo 2, M V Meyer-Marcotty 1. Comparison of Treatments for an Infected Pilonidal Sinus: Differences in Scar Quality and Outcome Between Secondary Wound Healing and Limberg Flap in a Prospective Study.// Thieme Connect .LKH-Univ. 2015. № 11.- p.45-53 DOI: 10.1055/s-0041-1113225. P B Lebo 1, S Dahmann 2, E Sinkovits 3, M Meyer-Marcotty 2. Pilonidal sinus: Secondary wound closure vs. Limberg flap : Cost and satisfaction analysis.// International Journal of Surgery. Universität Wien, Universitätsring 1, 1010, Wien, Österreich. 2017. №19.- p.72-78. DOI: 10.1007/s00104-016-0289-88. V I Pomazkin. Modified Limberg plasty in treatment of epithelial coccygeal passage. // Khirurgiya Zhurnal im N I Pirogova. Sverdlovsk Regional Clinical Hospital for war veterans, Yekaterinburg. 2015.№.14.- p.52-69. DOI: 10.17116/hirurgia2015551-55