Operación de Bascom para el tratamiento de la enfermedad pilonidal sacrococcígea abscedada. Experiencia inicial

Abstract

Bascom operation for the treatment of abscessed pilonidal sacrococcygeal disease. Initial experience Introduction: One of the form of presentation of the sacral coccygeal pilonidal disease is the abscess, for this cases there are various treatment alternatives. Objective: We present our experience with Bascom technique for the treatment of pilonidal abscess. Material and Method: Prospective, consecutive, nonrandomized series. It includes all patients older than 15 years who have an abscess or mass discharge at the time of surgery. Results: The series consists of 10 patients, 7 males. They are not risk factors recognized in the literature as risk of pilonidal disease. Eight patients completely better within a maximum period of 18 days and two with persistent discharge by what is considered treatment failure. They were subjected to a second surgery treatment with another technique with good results. Conclusion: Bascom's technique is simple, safe and offers a 80% cure in a short period of healing.

Manejo abierto del Quiste pilonidal

“…En nuestra serie el promedio de edad fue de 22,5 años, lo que se adapta a lo descrito en la literatura y la relación en cuanto a sexo es, aproximadamente, de 1,5:1, algo diferente en lo que se reporta en la literatura, quizás en el contexto del fenotipo de nuestros pacientes. Dentro de los factores de riesgo es bien conocido el aporte del hirsutismo y la obesidad a la patogenia del cuadro y sus complicaciones 8,9 . En nuestra serie vemos que al menos un 58,2% de los pacientes presenta malnutrición por exceso, lo que se condice con lo descrito en la literatura.…”