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Pilonidal Cyst

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Minimally invasive techniques for pilonidal cyst can be performed with simple instruments available in most operating rooms in Latin America, including curette and punch biopsy tools Revisión de la Bibliografía: Quiste Pilonidal · 6:38

Revisión de la Bibliografía: Quiste Pilonidal
Ya es de publico conocimiento que día a día se publican miles de artículos sobre distintas patologías y que es muy difícil seguirlos. En este formato te traemos una forma distinta de saber que es lo m&a
podcast16:57 · Jan 2023
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Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes
¡Nuevo artículo que debes conocer! por la Dra. Cecilia Gigena “Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes” Autores: Fereshteh Salimi-Jazi, Claire Abrajano, Deanna Garza,
video · Oct 2023
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Post-operative management with prone positioning until wound healing is critical for preventing recurrence; pilonidal disease is fundamentally a wound healing problem. Pilonidal Cyst Case Presentation: Update Course 2015 · 3:43

Pilonidal Cyst Case Presentation: Update Course 2015
During the 3rd Annual Stay Current in Pediatric Surgery Update Course in 2015, Dr. Ian Glenn leads this case based discussionon pilonidal cysts. Topics discussed include definitive treatment for pilonidal cyst disease, factors altering mana
video5:08 · Jan 2019
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Pilonidal Cyst Case Presentation: Update Course 2015
After 2-3 recurrences of pilonidal cyst, definitive surgery is indicated rather than repeat I&D.
opinion0:30 ↗
The Bascom technique involves excising 1-millimeter pits at skin level under local anesthesia, allowing secondary healing, with 70% not recurring by their data (though no control group exists).
clinical0:54 ↗
For large draining sinuses or recurrence after pit excision, formal OR excision of the entire affected area with off-midline layered closure and drain placement is performed.
clinical1:28 ↗
Physical exam findings including deep gluteal fold and heavy hair burden are high-risk factors for pilonidal disease recurrence.
clinical2:25 ↗
For severely infected pilonidal disease, open excision with wet-to-dry dressing changes or wound VAC is an option.
clinical2:50 ↗
The Karydakis flap is superior to excision only and comparable to the modified Limberg flap for pilonidal disease.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:10 ↗
The modified elliptical rotation flap has short-term results comparable to Limberg and Karydakis flaps, though less data exists.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:10 ↗
Post-operative management with prone positioning until wound healing is critical for preventing recurrence; pilonidal disease is fundamentally a wound healing problem.
opinion3:43 ↗
Plastic surgery consultation for flap reconstruction with strict prone post-operative positioning is used for multiply recurrent pilonidal disease.
clinical3:54 ↗
One patient reported laser hair removal as the most painful procedure they had experienced, completing only half a session and refusing further treatment.
clinical4:28 ↗
Laser hair removal for pilonidal disease is expensive and insurance reimbursement has not been successful.
clinical4:46 ↗
Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes
This is a prospective observational study conducted in the United States that evaluated quality of life in patients with pilonidal cysts before and after minimally invasive surgery.
Host summaryCecilia Gigena summarizing a resource — not the host's own clinical position0:00 ↗
The study included 101 patients with pilonidal cysts who underwent minimally invasive surgery.
Host summaryCecilia Gigena summarizing a resource — not the host's own clinical position0:00 ↗
Before surgery, daily activities were affected in 66% of patients, sports capacity in 57%, school attendance in 45%, and social activities in 22%.
Host summaryCecilia Gigena summarizing a resource — not the host's own clinical position0:00 ↗
After surgery, daily activities were affected in only 7% of patients, sports in 8%, school attendance in 2%, and social activities in 4%.
Host summaryCecilia Gigena summarizing a resource — not the host's own clinical position0:00 ↗
Minimally invasive surgery for pilonidal cysts appears to be highly beneficial for patient quality of life.
Host summaryCecilia Gigena summarizing a resource — not the host's own clinical position0:00 ↗
Revisión de la Bibliografía: Quiste Pilonidal
Systematic analysis shows open excision with midline closure has 16% recurrence rate for pilonidal cyst
Host summaryJose Campos summarizing the discussion — not the host's own clinical position3:37 ↗
Off-midline closure technique has 8% recurrence rate for pilonidal cyst
Host summaryJose Campos summarizing the discussion — not the host's own clinical position3:37 ↗
Minimally invasive techniques and marsupialization have 6% recurrence rate for pilonidal cyst
Host summaryJose Campos summarizing the discussion — not the host's own clinical position3:37 ↗
Gips technique involves central excision of skin which is then closed completely
clinicalAlberto Torres5:30 ↗
EPSiT and EPSIT are techniques that use tract irrigation
clinicalAlberto Torres5:30 ↗
Minimally invasive techniques for pilonidal cyst can be performed with simple instruments available in most operating rooms in Latin America, including curette and punch biopsy tools
opinion6:38 ↗
In retrospective study of EPSiT in children and adolescents, 115 patients underwent 115 procedures
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:14 ↗
Short-term follow-up was defined as 2 months in the EPSiT study
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:26 ↗
Long-term follow-up was defined as 30 months or more in the EPSiT study
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:26 ↗
Short-term recurrence rate after EPSiT was 8%
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:26 ↗
Long-term recurrence rate after EPSiT was 15%
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:26 ↗
Recurrence appears higher with longer follow-up after EPSiT
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:26 ↗
All patients in the EPSiT study were treated with minimally invasive technique
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:48 ↗
Only one patient in the EPSiT study required two procedures
Host summaryJose Campos summarizing the discussion — not the host's own clinical position10:48 ↗
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