Impacto de la técnica EPSiT vs técnica convencional en pacientes con quiste pilonidal no complicado Guayaquil – Ecuador. Una revisión sistemática
DOI:
https://doi.org/10.26820/recimundo/9.(3).sep.2025.15-30Palabras clave:
Quiste pilonidal, EPSiT, Cirugía mínimamente invasiva, Ecuador, Revisión sistemáticaResumen
Antecedentes: El quiste pilonidal es una afección frecuente en adultos jóvenes, cuyo tratamiento convencional se asocia con dolor postoperatorio, recuperación prolongada y alta tasa de recurrencia. En Ecuador, la técnica EPSiT (Endoscopic Pilonidal Sinus Treatment) ha surgido como una alternativa mínimamente invasiva que podría mejorar los resultados clínicos. Objetivo: Evaluar sistemáticamente el impacto de la técnica EPSiT frente a la técnica quirúrgica convencional en pacientes con quiste pilonidal no complicado en Guayaquil, Ecuador. Métodos: Se realizó una búsqueda en PubMed, Scopus, SciELO y LILACS (2018–2025), seleccionando estudios comparativos relevantes. Se aplicaron criterios PICO, herramientas de evaluación de sesgo (RoB 2, ROBINS-I, AMSTAR 2) y síntesis narrativa. Resultados: De 412 estudios identificados, 28 cumplieron los criterios de inclusión. La técnica EPSiT mostró ventajas en duración quirúrgica, dolor postoperatorio, tiempo de recuperación y satisfacción del paciente. Las tasas de recurrencia fueron similares a corto plazo. Conclusión: En el contexto clínico de Guayaquil, la técnica EPSiT representa una opción superior al abordaje convencional, mejorando la experiencia postoperatoria sin comprometer la eficacia.Descargas
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Derechos de autor 2025 Roberto Luiz Kaiser Junior, John Hamilton Adum Ruiz, Priscilla Guadalupe Gavilanes Vásquez
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