Search

Introduction: The pilonidal cyst is a chronic inflammatory condition of the skin and subcutaneous sacrocoxige tissue, with high incidence in young people and male sex. Surgical management includes open and closed techniques which use flaps. The objective is to describe the clinical and surgical charac)teristics of patients operated on for pilonidal cyst with open technique. Material and Method: Cohort, retrospective, observational and cross-sectional study. We included all patients operated on for pilonidal cyst using open techniques at the Hospital Clinic University of Chile between 2013 and 2019. Clinical and surgical characteristics was collected, such as type of open technique, operative time, healing time and definitive closure. Descriptive statistics were applied. Results: There were 250 patients diagnosed with pilonidal cyst since 2013, of which 84.8% were patients managed with open techniques; 60.8% were male. The average BMI was 26.8 with 24.5% of patients with obesity. 55.3% had been drained in the emergency room previously and 9.6% were relapses. The average size was 3.6 cm. The open techniques used were marsupialization, unroofing and McFee. The average healing time was 5.9 weeks and definitive closure occurs on average at 10.4 weeks; 4.7% relapsed. Conclusion: Surgery of the pilonidal cyst in our series corresponds mostly to open techniques (marsupialization and unroofing). The healing time, wound closure and the percentage of recurrences of patients operated on for pilonidal cyst is similar to that reported internationally [ABSTRACT FROM AUTHOR]

Aim: To evaluate long-term results in the surgical treatment of sacrococcygeal pilonidal disease (SPD) comparing the different surgical techniques used, complications, healing time and recurrence. Material and Method: Retrospective cross-sectional study. The files of the patients operated on for EPS between January 2017 and August 2021 were reviewed. For follow-up, information was obtained from the records of the periodic controls in our center; those who did not continue with these controls were contacted by telephone. Results: 309 cases were collected, with a mean follow-up of 15.6 months. The most used techniques for the chronic phase of EPS were marsupialization and Karydakis, achieving complete wound healing in 54.5 and 18.2 days, respectively. The presence of complications prolonged the healing time by 46.5 days in Karydakis, with minimal impact on marsupialization. The recurrence rate was lower in Karydakis and in the acute stage when unroofing and curettage were performed. Antibiotic prophylaxis did not increase the risk of postoperative complications. Discussion: The development of postoperative complications has a greater impact on the healing of the closed technique than in the open technique, the last one seems to be more tolerant in terms of healing in the presence of complications. Conclusion: The intervention with the Karydakis technique achieves healing of the surgical wound in less time than marsupialization, however, when complications develop, this time increases 3.5 times more. Recurrence was lower in Karydakis. In abscess weaning and curettage is recommended over the exclusive drainage. [ABSTRACT FROM AUTHOR]

To characterize the preferences and frequency of surgical techniques for the resolution of pilonidal disease (PSD) in colorectal surgeons of Latin America. Material and Method: Cross-sectional descriptive and analytical study using an electronic survey validated by expert peers. Distributed among colorectal surgeons in Latin America. Surgeons who were not subspecialists in colorectal surgery were excluded. Results: 372 responses were obtained from subspecialist surgeons in colorectal surgery from 15 Latin American countries, with a mean of 18.9 ± 12.5 years as subspecialists. 66.7% use open techniques for chronic PSD, the most used techniques: marsupialization (31.5%), unroofing (27.7%) and resection with the Karydakis technique (17.7%), Limberg flap (6, 1%), Bascom (5.4%), Z or VY plasties (4%), McFee (3.8%) and Epsit (3.8%). The most used intervention for the resolution of acute PSD is drainage under formal anesthesia with curettage and/or marsupialization (51.1%). 45.3% of surgeons change techniques during their career. Discussion: Due to the wide distribution and representativeness of the respondents, it was possible to capture the preference in a realistic way about the management of the PSD by the subspecialists of the continent, contributing with information with which there is no precedent. Conclusion: Open techniques are preferred for the resolution of chronic PSD, marsupialization, unroofing and Karydakis were used the most. The change of surgical technique within subspecialists is frequent, there is a relationship between preferring open techniques to the extent that surgeons have more years of experience. [ABSTRACT FROM AUTHOR]

Copyright of Acta Odontológica Colombiana is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Sacrocoxygeal pilonidal disease (EPSC) is a chronic pathology of surgical solution. For its treatment, multiple surgical techniques have been described, there being 2 large groups: open and closed techniques. The aim of the present study is to compare and analyze the surgical results of 2 techniques, one open (Marsupialization) and another closed (Karydakis). Materials and Method: Retrospective cohort study of electively operated patients with diagnosis of pilonidal cyst by a single surgeon, between July 2013 and July 2017 using these two techniques. Results: 71 patients were included. 30 patients with marsupialization and 41 with Karydakis. All hospitalized. All discharge the day after surgery. No patient required rehospitalization or additional surgeries. In the statistical analysis, benefits of the Karydakis technique are identified in terms of complications, postoperative pain, sitting pain, work incapacity and healing time. Conclusions: In this study, surgery with Karydakis technique has advantages in relation to Marsupialization, considering it as the first option for simple EPSC. [ABSTRACT FROM AUTHOR]

Introducción: el sialocele o mucocele salival es un acumulo de saliva en el tejido subcutáneo o submucoso sin revestimiento epitelial‚ este generalmente se forma por la ruptura del tejido glandular o de sus conductos‚ lo cual permite la salida de saliva. Entre las causas se pueden mencionar la formación de sialolitos‚ traumatismos‚ procesos inflamatorios en el tejido circundante‚ infecciones‚ neoplasias‚ entre otros. Descripción del caso: canino macho‚ de 9 años de edad y de raza golden retriever‚ que ingresó a consulta por presentar un aumento de volumen en la región cervical craneal. Al examen clínico se observó distrés respiratorio severo‚ cianosis marcada e intolerancia al ejercicio. Al explorar la cavidad oral se observó una ránula de gran tamaño en el lado izquierdo del piso oral‚ la cual se extendía hacia la faringe‚ desplazando dorsalmente la base de la lengua‚ la orofaringe y el paladar blando. Esta disposición causaba obstrucción respiratoria y era la causante de la cianosis. Metodología: el diagnóstico se confirmó mediante punción del sialocele mediante la cual se colectó saliva. Se realizaron los exámenes prequirúrgicos de rutina y se procedió a realizar el tratamiento quirúrgico que consistió en adenectomía de la glándula mandibular y sublingual del lado afectado‚ combinada con una marsupialización de la ránula sublingual con una abertura de aproximadamente 3 cm de largo. Resultados: apenas re realizó la intubación endotraqueal del paciente desapareció la cianosis‚ la adenectomía se realizó con éxito, aunque la inflamación del tejido circundante dificultó el procedimiento‚ la marsupialización de la ránula cicatrizó sin complicaciones. Conclusiones: los sialoceles y las ránulas son condiciones patológicas de las glándulas salivales que en ocasiones‚ como el caso presentado‚ pueden complicarse y afectar seriamente la función respiratoria‚ poniendo en riesgo la vida del paciente si no se realiza a tiempo el tratamiento adecuado. [ABSTRACT FROM AUTHOR]

The Herlin-Werner-Wunderlich (HWW) or OHVIRA syndrome is a rare anomaly of the urogenital tract characterized by uterus didelphys, blind hemivagina and ipsilateral renal alteration, due to training defects in the formation of mullerian and wollfian structures and occurs in adolescents after menarche with primary dysmenorrhea and cyclical pelvic pain, associated or not to vaginal bleeding and pelvic tumor by blood collection (hematocolpos). Three cases are presented in adolescents between 10 and 13 years old with cyclic pelvic pain of thee to six months of evolution with gynecological evaluation and pelvic ultrasound and diagnosis of HWW (OHVIRA) syndrome. The finding in paraclinics and diagnostic procedures performed were described (NMR, NMT, urethroscopy, laparoscopy, renal gammagram, urinary cystography; complications and therapeutic alternatives for its resolution were mentioned. Its concluded the HWW (OHVIRA) syndrome is a very rare complex urogenital anomaly with high possibility of presenting complications that they compromise the quality of life in the affected adolescents with risk in their sexual and reproductive future which forces to establish and early clinical diagnosis and adequate therapeutic. [ABSTRACT FROM AUTHOR]

Copyright of Revista ADM is the property of Asociacion Dental Mexicana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A descriptive, prospective, longitudinal study of 230 odontogenic cysts of the oral cavity was carried out, which were surgically treated in the Maxillofacial Surgery Department of *Saturnino Lora* Provincial Teaching Clinical Surgical Hospital of Santiago de Cuba, from 2000 to 2008, to characterize them from the clinical, epidemiological and therapeutic points of view. The main results revealed a higher incidence of inflammatory cysts than development cysts, with ratio of 1.8:1. Male sex prevailed in both groups, with ratio of 2.4:1 relative to female sex. The overall mean age was 38.4±11.2 years (with a range between 18 and 71 years) and the size of 3.01±1.54 cm. There was a prevalence of mandibular cysts in these groups, being the areas of molar bicuspids (maxilla) and of lower third molar the most affected. The technique of choice treatment was cystectomy, associated or not with filling in cystic cavity. Overall recurrence rate was low and cystectomy had a higher percentage due to keratocysts. Peroperative and postoperative complications showed low morbidity. [ABSTRACT FROM AUTHOR]

In this report the authors report a case of a 12 months old male infant, with an intrarenal grant simple cyst associated to blont trauma which was succesfull treated by internal marsupialization. [ABSTRACT FROM AUTHOR]