Revista ABCd (São Paulo). 21 out, 2019

BRAZILIAN AND ARGENTINEAN MULTICENTRIC STUDY IN THE SURGICAL MINIMALLY INVASIVE TREATMENT OF PILONIDAL CYST

Carlos Ramon Silveira MENDES
Luciano Santana de Miranda FERREIRA
Leonardo SALIM
DOI: 10.1590/0102-672020190001e1447

Background:

The pilonidal cyst is an infection of the skin and the subcutaneous tissue, secondary to a chronic inflammation with a greater frequency in the sacrococcygeal region, and associated to the presence of hair. The treatment is eminently surgical.

Aim:

To demonstrate the endoscopic treatment of pilonidal cyst.

Method:

Prospective study with 67 patients who had as surgical indication the diagnosis of pilonidal cyst. They were submitted to a surgical procedure from June 2014 to March 2018. The equipment used was the Meinero fistuloscope, a shutter, a monopolar electrode, a brush and endoscopic forceps.

Results:

Of the 67 patients, 67% (n=45) were male and 33% (n=22) female, with a mean age of 25 years (17-45). Surgical time in average was 40 min (20-120) and mean healing time of four weeks (3-12). Surgical complications were presented in 7% cases (n=5) and recurrences in 9% (n=6).

Conclusion:

The endoscopic treatment of the pilonidal cyst is feasible and presents good surgical results.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

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