Tratamiento resectivo con cierre primario mediante colgajo de Dufourmentel en la enfermedad pilonidal sacrococcígea (EPS)

Abstract

Introduction: It is a frequent condition and it is first described by May in 1833. Its course is benign (0.1% are malignant to squamous cell carcinoma) and it is surprising when these data are compared with the magnitude of morbidity and the risk of relapse. A number of techniques are described for its resolution. The objective of this publication is to show the use of Dufourmentel flap closure as a valid alternative for the treatment of pilonidal disease, whether it is complicated or not. 3 clinical cases resolved using this technique will be shown.

The authors declare that they have no conflicts of interest.

Materials and Method: We present 3 clinical cases operated on between 1/8/2019 and 1/3/2019 at HIGA San Roque de Gonnet in patients who presented chronic EPS with flare-up episodes and underwent different medical and surgical treatments. All of them of the average line and of big size. 2 male and 1 female cases. The evolution of each of them is presented with a 30-day follow-up.

Discussion: Following the objectives pursued by the surgeon in the event of a sacrococcygeal pilonidal disease, the respective treatments are imposed on the non-resective ones. Flap closures are valid options. Due to its results, the Dufourmentel flap prevails in the choice over the Limberg flap.

Conclusions: The Dufourmentel flap represents a viable alternative to large sacrococcygeal cysts, inside or outside the midline. Due to its easy preparation and its good results, it should be among the options of the general surgeon for the treatment of pilonidal disease.

Key Words: Sacrococcygeal pilonidal disease-Dufourmentel flap-Technic