Limberg and Karydakis Flap in Recurrent Pilonidal Sinus Disease

Adana Numune Training and Research Hospital71 enrolled

Overview

It was investigated whether there is a factor that can aid determination of the preferred technique by comparing the early Limberg flap and Karydakis procedure techniques for the treatment of recurrent pilonidal sinus.

Sacrococcygeal pilonidal sinus is common in young men and may recur overtime after surgery. It was investigated whether there is a factor that can aid determination of the preferred technique by comparing the early Limberg flap and Karydakis procedure techniques for the treatment of recurrent pilonidal sinus.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Recurrent Pilonidal Sinus Disease

Interventions

Limberg flapPROCEDURE

Patients were divided into two groups, group 1 were treated with Limberg flap technique (n= 37) . Two groups were compared with a statistical in terms of fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, completes healing time, painless seating and patient satisfactions

Karydakis procedurePROCEDURE

Patients were divided into two groups, group 2 were treated with Karydakis flap (n= 34). Two groups were compared with a statistical in terms of fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, completes healing time, painless seating and patient satisfactions

Eligibility

Sex: ALLMin age: 16 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients willing to give written informed consent 2. There should be recurrent pilonidal sinus 2\. Recurrent adult patients (over 18 years of age) undergoing surgery for pilonidal sinus 3\. International normalizing ratio (INR) less than 1.5 4\. Prothrombin time (PT) should be less than 15 s 5\. Partial thromboplastin (PTT) time should be near normal 6\. Platelet count should be greater than 50,000 per mm3 to limit the risk of bleeding 7\. There must be no infection at the time of surgery \- Exclusion Criteria: 1. Patients not willing to give informed consent 2. Age less than 16 years 3. Patient presenting with conditions mimicking pilonidal sinus 4. Diabetes mellitus, renal failure, immunosuppression e.g. were excluded \-

Outcomes

Primary Outcomes

Superiority of Limberg Flap in Recurrent Pilonidal Sinus Disease

Superiority as measured by rates of recurrence and complication, length of hospital stay, return work, VAS skore, patient satisfaction and complet healing duration.

Time frame: January 2009 to December 2013, Patients were invited for control 1 month, 3 months, 6 months, 1 year intervals

Data from ClinicalTrials.gov

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