Short and long-term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease: a prospective randomized study

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dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X;
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidASLAN, AHMET/KFA-8138-2024
dc.contributor.authorAtes, Mustafa
dc.contributor.authorDirican, Abuzer
dc.contributor.authorSarac, Mehmet
dc.contributor.authorAslan, Ahmet
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:35:36Z
dc.date.available2024-08-04T20:35:36Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Pilonidal sinus is a common disease that mostly affects young people. Although various surgical techniques have been described for treating sacrococcygeal pilonidal disease (SPD), controversy still exists as to the best surgical technique. The purpose of this study was to compare the efficiency and short-term and long-term results of the Karydakis flap with that of the Limberg flap for treating SPD. METHODS: In this prospective randomized study, 269 patients with SPD were recruited to undergo either the Karydakis flap (n = 135) or the Limberg flap (n = 134) procedure between September 2004 and September 2008. RESULTS: The mean operative time for the Karydakis group (42.32 +/- 8.64 minutes) was shorter than that for the Limberg group (50.14 +/- 6.96 minutes) (P = .01). The complication rate for the Karydakis group (n = 15 [11.1%]) was lower than that for the Limberg group (n = 28 [20.8%]) (P = .029). The visual analogue scale score for postoperative pain at the operation site on the 30th day was lower in the Karydakis group than in the Limberg group (2.22 +/- 1.01 vs 3.23 +/- 1.14, P = .01). The visual analogue scale score for satisfaction with the cosmetic appearance of the scars in the Karydakis group was 7.08 +/- 1.75, whereas it was 3.16 +/- 1.40 in the Limberg group at the 3rd month (P = .01). Length of hospital stay was significantly shorter in the Karydakis group than in the Limberg group (3.40 +/- .94 vs 3.8 +/- 1.19 days, P = .03). Only 4 patients in the Karydakis group developed recurrence (3%), whereas 9 patients (6.9%) did so in the Limberg group (P = .151). CONCLUSIONS: The Karydakis flap procedure should be chosen instead of the Limberg flap for treating uncomplicated SPD because of its lower postoperative complication rate, lower pain scores, shorter operation time and length of hospital stay, and good cosmetic satisfaction. However, no differences existed between the 2 surgical procedures in terms of recurrence prevention. (C) 2011 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.amjsurg.2010.10.021
dc.identifier.endpage573en_US
dc.identifier.issn0002-9610
dc.identifier.issue5en_US
dc.identifier.pmid21788003en_US
dc.identifier.scopus2-s2.0-80054970525en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage568en_US
dc.identifier.urihttps://doi.org/10.1016/j.amjsurg.2010.10.021
dc.identifier.urihttps://hdl.handle.net/11616/95470
dc.identifier.volume202en_US
dc.identifier.wosWOS:000297025700019en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherExcerpta Medica Inc-Elsevier Science Incen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKarydakisen_US
dc.subjectLimbergen_US
dc.subjectFlapen_US
dc.subjectPilonidal sinus diseaseen_US
dc.subjectComplicationen_US
dc.subjectRecurrenceen_US
dc.titleShort and long-term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease: a prospective randomized studyen_US
dc.typeArticleen_US

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