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Revista chilena de cirugía

versión On-line ISSN 0718-4026


INOSTROZA L, GONZALO et al. Pilonidal cyst abscess: Definitive treatment in a single time during the acute, short-term results. Rev Chil Cir [online]. 2011, vol.63, n.1, pp.54-58. ISSN 0718-4026.

Sacrococcigeal Pilonidal disease (EPSC) is a chronic inflammatory disease with intercurrent periods of abscess formation. Habitual behavior is the management in two stages, characterized by drainage and delayed management using different techniques. Objective: To show the treatment in a single time (definitive) of the EPSC abscessed with the technique of Mc Fee. Materials and Methods: Prospective study. 20 patients with abscessed EPSC were admitted in the Hospital of Los Angeles, between april 2009 - april 2010, who underwent Mc Fee technique as definitive treatment. Average follow up of 197 days. Results: Of 20 patients, 11 were females. Average age 28.2 years. BMI 27.5. The average hospital stay was 1.7 days. The average time walk without pain was of 6.6 days. Postoperative pain was low in most subjects. The total healing time was 34.9 days on average. The satisfaction with the scar was high in 90%. Discussion and Conclusion: In this study the technique of Mc Fee is presented as an alternative for definitive treatment in a single time. Success in all areas, such pain, postoperative recovery, complications and cosmetic out come. The follow up must be longer to determine the existence of long term recurrences.

Palabras clave : Pilonidal disease; Mc Fee technique; one stage treatment.

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