In simple words: The doctor removes a pressure sore on your tailbone, also removing the tailbone itself.Skin from a nearby area is then used to cover the wound, like creating a flap, to help it heal better and look better.

This procedure involves the excision of a pressure ulcer located in the coccygeal region (tailbone), along with the removal of the coccyx (tailbone) itself. The resulting wound is then closed using a flap closure technique, where healthy tissue is moved from a nearby area to cover the defect and promote healing.This method is often preferred for larger or more complex wounds where primary closure (suturing the edges together) is not feasible or desirable. Flap closure helps to minimize tension on the wound, reduce the risk of infection, and improve the cosmetic outcome.

Example 1: A patient with a stage IV pressure ulcer on the coccyx with exposed bone and significant infection requires excision of the ulcer and coccygectomy, followed by flap closure to promote healing and prevent recurrence., A patient with a recurrent coccygeal pressure ulcer despite conservative treatment undergoes excision of the ulcer and coccyx. Due to the size and depth of the wound, a flap closure is performed to optimize wound healing and minimize tension., Following a traumatic injury to the tailbone resulting in a deep wound with exposed bone, a patient requires debridement and coccygectomy, with flap closure performed to reconstruct the defect and facilitate proper healing.

Documentation should include the size and location of the pressure ulcer, the presence of any infection or exposed bone, the extent of the coccygectomy, the type of flap used for closure, and any associated procedures such as debridement.