<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000100024</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.abril.24-26</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[MANEJO QUIRÚRGICO DEL QUISTE PILONIDAL. TÉCNICA CERRADA CON COLGAJO DE AVANCE]]></article-title>
<article-title xml:lang="en"><![CDATA[MANAGEMENT OF PILONIDAL CYST WITH CLOSURE TECHNIQUE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Israel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[Evelyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronel]]></surname>
<given-names><![CDATA[Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Ever]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>24</fpage>
<lpage>26</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La técnica cerrada es cada vez más utilizada en el tratamiento quirúrgico del quiste pilonidal, ya que es simple, con periodo de corto tiempo quirúrgico, hospitalización y cicatrización, aunque en nuestro medio aún no sea la más utilizada.  Objetivo: Describir la experiencia del tratamiento del quiste pilonidal con la técnica cerrada con colgajo de avance en nuestro servicio.  Materiales y método: El trabajo presenta un diseño observacional, descriptivo de corte transversal. Se estudió 30 pacientes de ambos sexos con diagnóstico de quiste pilonidal, intervenidos quirúrgicamente con la técnica cerrada con colgajo de avance en la II Cátedra de Clínica Quirúrgica del Hospital de Clínicas en el periodo enero 2014 a enero 2017.  Resultados: 30 pacientes, edad promedio: 27,4 conrango entre 17 a 41 años, de los cuales el 70% (21) eran del sexo masculino y 30% (9) del sexo femenino, el promedio del tiempo quirúrgico fue 39 min y la estancia hospitalaria de 6 a 12 horas post quirúrgicas, el 90% (27) de los pacientes no presentó complicación alguna, presentando buena cicatrización en 15 días, la morbilidad fue del 10% (2 infecciones del sitio quirúrgico y 1 hematoma) y mortalidad nula.  Discusión: En el trabajo de Karydakis, la edad promedio fue de 24,5 años en el nuestro de 27,4; el 53% fue hombre, en el nuestro 70%; la hospitalización promedio fue de 2,5 días, el nuestro de 6 a 12 horas. La recuperación completa de la mayoría fue de 15 días en ambos trabajos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Introduction:  The closure technique is one of the most used in the surgical treatment of the pilonidal cyst, because it is simple and reproductible, it presents a period of short surgical time, of hospital stay and cictrization.  Objective:  to describe experience of treatment of the pilonidal cyst with the closure flap technique in our service.  Materials and methods:  the study has an observational, descriptive, and transverse cut design, 30 patients where included, they submitted tothis technique during the period January 2014 to January 2017 in the II service of clinical surgery at the Clinical Hospital (Paraguay)  Result:  30 pacients, with a range between 17 to 41 years of age, with 70%(21) were male, and 30%(9) were female, the average surgical time was 39 minutes, and the avarege hospital stay was 6 to 12 hours postsurgical procedure, 90%(27) of the patients did not present any complications, presenting good healing in an average of 15days, the morbidity was 10% (2 surgical site infections and 1 hematoma), and mortality was null.  Discussion: in a Word of Karydakis obtained similar results to our work, the average age was 24,5 years in our 27,4; the 53% was a man, in our 70%; the average hospitalization was 2,5 days, in our 6 to 12 hour period. The complete recovery of the majority of the patients was of 15 days in both works.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[quiste pilonidal]]></kwd>
<kwd lng="es"><![CDATA[colgajo de avance]]></kwd>
<kwd lng="en"><![CDATA[Pilonidal Cyst]]></kwd>
<kwd lng="en"><![CDATA[Closure flap technique]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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