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Enfermedad pilonidal - Treatment

Nombres alternativos

Absceso pilonidal; Quiste pilonidal; Fístula pilonidal

Cuidados en el hogar:

Puede ayudar el hecho de mantener el área limpia y seca y eliminar los vellos regularmente para prevenir infección.

Cuándo contactar a un profesional médico:

Consulte con el médico si nota cualquiera de los siguientes síntomas alrededor del quiste pilonidal:

  • Secreción de pus
  • Enrojecimiento
  • Hinchazón
  • Sensibilidad

Lo que se puede esperar en el consultorio médico:

A usted se le interrogará sobre su historia clínica y se le realizará un examen físico. Algunas veces, se le puede solicitar la siguiente información:

  • ¿Ha habido algún cambio en la apariencia del quiste pilonidal?
  • ¿Se ha presentado alguna secreción del área?
  • ¿Tiene otros síntomas?

En raras ocasiones, se hace una tomografía computarizada.

La enfermedad pilonidal que no causa síntomas no necesita tratamiento.

Un absceso pilonidal se puede abrir, drenar y tapar con gasa. Se pueden utilizar antibióticos si hay una infección propagándose en la piel o si usted además tiene otra enfermedad más grave.

Otras cirugías que se pueden requerir abarcan:

  • Extirpación (escisión) del área afectada
  • Injertos de piel
  • Cirugía para extirpar un absceso que reaparece
  • Reviewed last on: 12/17/2010
  • Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Klein MD, Thomas RP. Surgical conditions of the anus, rectum, and colon. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 341.

Nelson H, Cima RR. Anus. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 51.

Humphries AF, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am. 2010;90:113-124.

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