A comparative study on short term outcome of Karydakis versus Limberg procedure for pilonidal sinus

Anandan Kanthan; Hariprasad .; Shree Venkatesan Bhaskaran

doi:10.18203/2320-6012.ijrms20230853

Authors

Anandan Kanthan Institute of General surgery, Madras Medical College, Chennai, Tamil Nadu, India
Hariprasad . Institute of General Srgery, Madras Medical College, Chennai, Tamil Nadu, India
Shree Venkatesan Bhaskaran Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-5467-388X

DOI:

https://doi.org/10.18203/2320-6012.ijrms20230853

Keywords:

Pilonidal sinus, Karydakis, Limberg flap, Sacrococcygeal infection

Abstract

Background: Pilonidal sinus disease is a common chronic disease occurring in the natal cleft of the sacrococcygeal region and is common among young adults. It is characterized by inflammation, abscess and sinus formation. It is accepted that pilonidal sinus results from the penetration of shed hair shafts through the skin. there is no consensus about treatment of pilonidal sinus disease. Some procedures include shaving, phenol application, treatment with crystallised phenol, incision and curettage, unroofing and curettage, excision with primary closure, excision with marsupialization, vey flap reconstruction, Bascom procedure, Limberg flap reconstruction, modified Limberg flap reconstruction, Karydakis flap reconstruction, modified Karydakis flap reconstruction and musculocutaneous flap reconstruction are some of the treatments for pilonidal disease. We compared the short-term outcome of Karydakis procedure and Limberg flap surgery at MMC, Chennai

Methods: Prospective study-> period of 12 months from April 2020 to March 2021 was done in our hospital. 110 patients undergoing surgery for pilonidal sinus at MMC Chennai who fulfilled the criteria were included in the study. Patients were divided in two groups of 55 each into KP and LFS.

Results: MLF has shorter duration of hospital stay and lesser workdays loss as compared to KP. No significant difference in two procedures in view of wound infection and post op pain.

Conclusions: In this study, no significant difference was found between the surgical techniques in terms of post-operative pain and wound infection. MLF procedure achieves shorter return-to-work time when compared to KP.

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