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

ABSTRACT

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.

HEADINGS: Laparoscopy; Pilonidal cyst; Minimally invasive surgical procedures

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