Effectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease

Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus. This...

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Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Brazil), 2015-05, Vol.70 (5), p.350-355
Main Authors: Bali, İlhan, Aziret, Mehmet, Sözen, Selim, Emir, Seyfi, Erdem, Hasan, Çetinkünar, Süleyman, İrkörücü, Oktay
Format: Article
Language:English
Subjects:
Adolescent
Adult
Clinical Science
Dermatologic Surgical Procedures
Edema - etiology
Female
Follow-Up Studies
Hematoma - etiology
Humans
Karydakis flap
Length of Stay
Limberg technique
Male
Medical Illustration
MEDICINE, GENERAL & INTERNAL
Operative Time
Patient Satisfaction
Photography
Pilonidal Sinus - surgery
Postoperative Complications
Prospective Studies
Recurrence
Recurrent pilonidal sinus
Skin Transplantation
Surgical Flaps - surgery
Wound Healing - physiology
Young Adult
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Summary:Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus. This prospective and randomized study enrolled 71 patients with recurrent pilonidal sinus in whom the Limberg flap or Karydakis flap techniques were applied for reconstruction after excision. Patients were divided into two groups as follows: 37 patients were treated with the Limberg flap technique and 34 patients were treated with the Karydakis flap technique. Fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, complete healing time, painless seating and patient satisfaction were compared between the groups. ClinicalTrial.gov: NCT02287935. The development rates of total fluid collection, wound infection, flap edema, hematoma, and partial wound separation were 9.8%, 16%, 7%, 15% and 4.2%, respectively; total flap necrosis was not observed in any patient (p
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.6061/clinics/2015(05)08