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1. Verfasser: GUILLERMO BANNURA C.
Format: Artículo científico
Sprache:es
Veröffentlicht: Sociedad de Cirujanos de Chile 2009
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Online-Zugang:https://www.redalyc.org/articulo.oa?id=345531936007
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  • Operación de Karydakis ambulatoria en el manejo de la enfermedad pilonidal sacrococcígea GUILLERMO BANNURA C. ALEJANDRO BARRERA E. JAIME CONTRERAS P. CARLOS MELO L. DANIEL SOTO C. Medicina pylonidal disease ambulatory surgery Karydakis procedure Background: Asymmetrical closed techniques have comparative benefits for the treatment of sacrococcygeal pilonidal disease. Aim: To assess the results of Karydakis asymmetrical excision, performed on an ambulatory basis. Patients and Methods: Prospective evaluation of 29 females and 21 males aged 15 to 44 years operated using Karydakis procedure on an ambulatory basis. Results: The body mass index of patients fluctuated between 19 and 47 kg/m 2 . Thirty eight percent were overweight and 28% were obese. Sixty two percent were hirsute. The form of presentation of the disease was the spontaneous or surgical drainage of an abscess with chronic suppuration in 92% of cases. Surgical time fluctuated between 25 and 45 minutes. All patients were discharged four to six hours after the procedure. There were no re-operations and the rate of complications was 10%. Ninety percent of patients did not have a local complications and a complete healing was achieved three weeks after the operation. After a follow up of 3 to 65 months, no relapses have been observed. Conclusions: Karydakis procedure, performed on an ambulatory basis, is safe, feasible and has excellent results. 2009 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531936007 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.3 Vol.61