Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease

Can, Mehmet Fatih; Sevinç, Mert Mahsuni; Hançerlioğulları, Oğuz; Yılmaz, Mehmet; Yağcı, Gökhan

doi:10.1016/j.amjsurg.2009.08.042

Cited by 125 publications

(108 citation statements)

References 29 publications

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“…This in turn maintains good hygiene, reducing the friction, preventing maceration, and avoiding scar in the midline. This flap procedure found better than simple excision and closure, marsupialization [13,14], other flap procedures such as bescom and Karydakis [17,22]. Several series reported recently about the usefulness of this flap in treatment for sacrococcygeal pilonidal sinus have been comparable with our series in terms of complications and recurrences.…”

Section: Discussionsupporting

confidence: 72%

Limberg Flap for Sacrococcygeal Pilonidal Sinus a Safe and Sound Procedure

2012

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Section: Discussionsupporting

confidence: 72%

Limberg Flap for Sacrococcygeal Pilonidal Sinus a Safe and Sound Procedure

2012

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“…En una reciente serie prospectiva publicada y que compara la técnica de Limberg con la de Karydakis, se demuestra que esta última presenta menores complicaciones (11 vs 20%), menor dolor y menor tiempo operatorio, tasas de recidiva similar a 2 años y un mejor resultado estético 14 . Otro estudio comparativo multicéntrico con 72 pacientes por rama logra menor tiempo operatorio en la técnica de Karydakis versus Limberg modificado y una mejor satisfacción de recuperación, sin haber diferencias en las otras variables 15 . Es interesante que en un trabajo de Ates, se excluyeron pacientes recidivados para el estudio, habiendo nosotros incorporado en nuestra serie estos pacientes (20% del total de la serie), logrando tanto Ates como nosotros una recidiva de 3%, resultado similar a la mayoría de las series que tienen un seguimiento también prolongado vs 6,9% para la técnica de Limberg 14 .…”

Section: Discussionunclassified

Resultados a corto y largo plazo con la técnica de Karydakis para la enfermedad pilonidal sacrocoxígea

Readi

et al. 2013

Rev Chil Cir

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Short-and long-term results with Karydaki's technique for sacrococcygeal pilonidal diseaseIntroduction: Sacrococcygeal pilonidal cyst or sinus is a common condition in young people. There is still discussion about which of the many existing techniques is best suited to resolve this condition. Objective: To analyze the short-and long-term use of Karydaki's technique in our Hospital. Material and Methods: We analyzed prospective protocols from patients with pilonidal cyst with Karydaki's technique from June 2005 to August 2010. Clinical and telephonic follow-up was done to all patients and a satisfaction survey done to a random sample of the series. Results: We analyzed 62 patients with mean age of 24.5 years (15-45), being 33 men (53%). Cysts were previously relapsed in 20.9% of cases. The average hospital stay was 2.5 days (1-3). Early complications occurred in 14.3% of patients being the most common seroma in 8% and dehiscence in 6.4%. At a mean follow up of 38 months (12-62), relapse occurred in two patients (3.2%), one at 6 months and the other at 3 years, being resolved one by a new Karydaki's technique and the other with marsupialization. Among the group surveyed for satisfaction, 75% found the technique satisfactory or very satisfactory in terms of aesthetics and 95% would recommend this technique. Conclusions: Karydaki's operation achieves with a simple and aesthetic technic a low recurrence and morbidity and a complete recovery after 15 days in most patients.

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“…Bizim sonuçlara benzer olarak ameliyat yöntemleri aras›nda komplikasyon aç›s›ndan bir fark olmad›¤› ifade edilmektedir. 7,8,9 Cerrahi sonras› erken dönem komplikasyon ve hastal›¤›n tekrarlamas› aç›s›ndan uygulanan cerrahi yöntemin d›fl›nda hastaya ait risk faktörleri de önemlidir. Bizim çal›flmam›zda ameliyat sonras› komplikasyon gelifliminde yafl aç›s›ndan bak›ld›¤›nda komplikasyon geliflenlerde ortalama 25 y›l iken komplikasyon geliflmeyenlerde yafl ortalamas› 24 y›l olarak bulunmufltur.…”

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