Estadísticas

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      "titulo" => "Técnica del colgajo romboidal en el tratamiento del sinus pilonidal crónico. Nuestra experiencia en 20 casos"
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          "titulo" => "Rhomboid flap technique in the treatment of chronic pilonidal sinus. Our experience in 20 cases"
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      "titulo" => "Primeros resultados en el tratamiento de la hernia inguinal con laparoscopia por vía preperitoneal pura"
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          "autoresLista" => "R Toscano Méndez, M Felices Montes, J Gómez Venegas, R Dubuisson Dumeny, M Herrero Reder, M Salvi Martínez, C Vara Thorbeck"
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    "titulo" => "Experiencia y resultados en el tratamiento quirúrgico del sinus pilonidal sacrococcígeo"
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        "titulo" => "Experience and results in the surgical treatment of sacrococcygeal pilonidal sinus"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> El objetivo del presente estudio es analizar los resultados de tres actitudes quir&#250;rgicas en el sinus pilonidal sacrococc&#237;geo&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Se han analizado de manera retrospectiva un total de 118 pacientes &#40;98 varones y 20 mujeres&#41; intervenidos de sinus pilonidal sacrococc&#237;geo en fase cr&#243;nica&#46; En un primer per&#237;odo&#44; se efectu&#243; a 65 pacientes una escisi&#243;n amplia en huso del sinus seguida de marsupializaci&#243;n de los bordes en 34 casos&#44; o de cierre primario en 31&#46; En un segundo per&#237;odo&#44; se trataron 53 pacientes mediante escisi&#243;n m&#237;nima seguida de sutura primaria&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> La mediana &#40;RIC&#41; del tiempo de seguimiento ha sido de 55 meses &#40;rango 18-119 meses&#41;&#46; En el grupo de resecci&#243;n simple m&#225;s cierre primario se han observado diferencias significativas respecto a los otros grupos en cuanto a la estancia postoperatoria &#40;p &#60; 0&#44;0001&#41; y en el tiempo de cierre total de la herida &#40;p &#60; 0&#44;05&#41;&#46; La tasa de infecci&#243;n fue significativamente menor en el grupo de marsupializaci&#243;n &#40;26&#44;5&#37;&#41; y en el grupo de resecci&#243;n simple m&#225;s cierre primario &#40;34&#37;&#41; con respecto al grupo de resecci&#243;n amplia m&#225;s cierre primario &#40;64&#44;5&#37;&#41;&#46; No se evidenciaron diferencias significativas en el porcentaje de recidivas entre las tres intervenciones&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> La resecci&#243;n simple m&#225;s cierre primario del sinus pilonidal&#44; realizada en el marco de una cirug&#237;a ambulatoria o de corta estancia&#44; ha sido la intervenci&#243;n con la que se han obtenido mejores resultados"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> The objective of the present study is to analyze the results with three different surgical approaches to sacrococcygeal pilonidal sinus&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> A total of 118 patients &#40;98 men and 20 women&#41; who underwent surgery to treat chronic-phase sacrococcygeal pilonidal sinus were studied retrospectively&#46; Surgery in the earliest treatment group consisted of an extensive excision in the sinus followed by marsupialization of the borders in 34 cases or by primary closure in 31&#46; During the second period&#44; 53 patients underwent minimal excision followed by primary suture&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The median follow-up time was 55 months &#40;range&#58; 18 to 119 months&#41;&#46; The results in the group with simple resection plus primary closure were found to be significantly different from those of the rest of the patients with respect to postoperative hospital stay &#40;p &#60; 0&#46;0001&#41; and total wound closure time &#40;p &#60; 0&#46;05&#41;&#46; The rate of infection was significantly lower in the groups undergoing marsupialization &#40;26&#46;5&#37;&#41; or simple resection plus primary closure &#40;34&#37;&#41; when compared with patients subjected to extensive resection and primary closure &#40;64&#46;5&#37;&#41;&#46; There were no significant differences in the recurrence rate associated with each procedure&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Simple resection plus primary closure of the pilonidal sinus&#44; carried out in an ambulatory or short-stay regimen&#44; produced the best results&#46;"
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