Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials

Prassas, Dimitrios; Rolfs, Thomas-Marten; Schumacher, Franz-Josef; Krieg, Andreas

doi:10.1007/s00423-018-1697-7

Cited by 34 publications

(34 citation statements)

References 27 publications

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“…Looking to various meta-analyses involving randomized controlled studies comparing KF and LF methods, rates of se- roma have been found significantly higher with KF technique. No significant difference was found in terms of recurrence rates and other variables (19)(20)(21)(22).…”

Section: Discussionmentioning

confidence: 74%

“…In the LF group, 3 (5.9%) developed seroma in the wound site, 1 (2%) hematoma in the wound site, 1 (2%) wound site infection and 1 (2%) dehiscence of incision when skin sutures were removed. During follow up, recurrence was found as 5.9% (n= 3) in the LF group with a mean duration to recurrence as 22 (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) months. Duration to recurrence was statistically shorter in the KF group compared to the LF group (p= 0.001).…”

Section: Resultsmentioning

confidence: 99%

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Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

et al. 2020

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Objective: Pilonidal sinus disease (PSD), most commonly seen in young men, is a chronic disease resulting from the pilosebaceous in the sacrococcygeal region. There is still no standardization in surgical treatment. In this study, the effectiveness, follow up outcomes and quality of life level were compared between Karydakis flap (KF) and Limberg flap (LF) operations. Material and Methods:Among the patients who had undergone PSD surgery in our clinic between 2015 and 2016, those who could be reached and who received KF (n= 53) and LF (n= 51) operations were included into the study. Clinical data of these patients were retrospectively evaluated. Postoperative satisfaction levels of the patients were determined with Cardiff wound healing survey questions and visual analog scale.Results: Mean operational time was 54 (44-75) minutes in the LF group and 45 (35-60) minutes in the KF group, and it was statistically significant (p= 0.001). Mean time to return to work was 14.3 (9-28) days in the LF group and 17.6 (10-30) days in the CF group and was statistically significant (p= 0.001). The rates of complications and recurrence were lower in the LF group although the difference was not statistically significant between the groups (p> 0.05). Mean psychosocial assessment score was 70.3 (57.5-88.7) in the KF group and 73.4 (53.5-87.5) in the LF group and the difference was statistically significant (p= 0.001). Conclusion:LF was a more reliable and preferable method compared to KF because of earlier return-to-work, lower rate of recurrence at long term follow up, and higher psychosocial satisfaction.

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Section: Discussionmentioning

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

et al. 2020

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“…KF required shorter operating time in all studies. Most of the studies report similar time to return to work in both arms [29].…”

Section: Excisional Proceduresmentioning

confidence: 91%

Pilonidal Disease

Nestorović

Pecić²,

Branković³

et al. 2019

FU Med Biol

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Pilonidal disease is a common and well-recognized medical condition. It affects people in reproductive age, especially men and in combination with in-patient and outpatient treatment and absence from work it causes a considerable socioeconomic loss. This fact led to a renewed interest in understanding of the disease and search for the ideal method of treatment. The purpose of this review was to provide update on therapeutic options for patients with pilonidal disease. In case of chronic or recurrent pilonidal disease various treatment options exist, addressing different measures of surgical outcome. Like for many conditions, there is increase in the use of minimally invasive techniques in the treatment, which could be alternative to surgical excisions for pilonidal disease. Procedures for treatment of pilonidal disease can be divided in two large groups: minimally invasive treatment and excisional procedures. Although various treatment options exist nowadays, surgery is still preferred as definitive treatment. The optimal closure of the wound following an excision is still under debate since outcome measures depend mostly on type of closure selected. Most of the procedures fail to achieve the goals altogether. The final decision on treatment should be made based on surgeon and the patient’ preference.

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“…However, there was a shorter time to return to work seen with the Karydakis flap (Standardised mean difference −0.18, 95% CI −0.035 to −0.008). Karydakis and Limberg flaps again appeared to be comparable in a more recent meta‐analysis of 8 RCTs (6 single‐centre and 2 multi‐centre trials) that directly compared the two types of flap, including a total of 1121 patients (Karydakis n = 554 and Limberg n = 567) . There was no significant difference between the two flaps in the primary outcome of the recurrence rate (OR 1.07, 95% CI 0.59‐1.92; P = 0.83), although follow‐up duration varied from 15.5 to 33.3 months.…”

Section: Chronic Disease Treatmentsmentioning

confidence: 94%

Management of sacrococcygeal pilonidal sinus disease

Harries

Alqallaf

Torkington

et al. 2018

International Wound Journal

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The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. A variety of different surgical techniques have been described for the primary treatment of pilonidal sinus disease and current practice remains variable and contentious. Whilst some management options have improved outcomes for some patients, the complications of surgery, particularly related to wound healing, often remain worse than the primary disease. This clinical review aims to provide an update on the management options to guide clinicians involved in the care of patients who suffer from sacrococcygeal pilonidal sinus disease.

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Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials

Abstract: Recurrence rates of PSD were found to be similar in both study groups. Post-operative seroma rate was significantly higher in the KF group. The meta-analysis did not indicate any further statistically significant differences between the two surgical procedures.

Cited by 34 publications

References 27 publications

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

Pilonidal Disease

Management of sacrococcygeal pilonidal sinus disease

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