Belmonte MC, Pablo Orozco OP, Chiapa CM, Decanini TC

Language: Spanish
References: 16
Page: 121-124
PDF size: 42.65 Kb.

ABSTRACT

Objective: To demonstrate that unroofing of the fistulous tract, scraping, cleaning of the pilonidal cavity, and marsurpialization are efficacious surgical procedures to treat non-complicated chronic pilonidal disease.
Design: Retrospective, descriptive study.
Setting: Third level health care hospital.
Patients and methods: We studied a total of 107 patients coursing with chronic pilonidal disease operated using the technique of unroofing the fistulous tract, scraping, cleaning of the pilonidal cavity, and marsurpialization. Patients of any gender and age were included; excluded were patients with a systemic disease, such as diabetes mellitus or any other that might interfere with the cicatrization process. We assessed the following variables: surgical time, hospital stay, cicatrization time, recurrences, morbidity, type of performed treatment, and surgeon performing the operation.
Results: There were a total of 55 men and 52 women, their ages ranged from 14 to 37 years, median of 23. In 20 patients, the surgery was performed by a colo-rectal surgeon and in 87 by a resident in the first or second year of the general surgery specialty. Average surgical time was 15 min (minimum 7 min, maximum 39 min). There were no transoperative or anesthetic accidents or incidents. Follow-up time was in average of 18 months, minimum of 4 months and maximum of 36 months. Cicatrization time averaged 28 days. Infection of the surgical incision occurred in 6 patients (7%), recurrences in three patients (3.5%), no deaths occurred.
Conclusion: The analyzed surgical technique is adequate, with low morbidity and recurrence rates.

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