Research Article
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Year 2022, Volume: 8 Issue: 3, 340 - 348, 31.08.2022
https://doi.org/10.19127/mbsjohs.1066649

Abstract

References

  • 1. Okus A, Karahan O, Eryilmaz MA, Ay AS, Sevinc B, Aksoy N, et al. Prevelance of Pilonidal Disease in Society, by Age and Sex Distrubution (Early Results). Selcuk Med J.2013;29 (3):120- 122.
  • 2. Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int. J. Colorectal Dis.1995;10(1):39-42.
  • 3. Mentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M. Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg.2008;393(2):185-9.
  • 4. Ucar AD, Cartı EB, Oymacı E, Sarı E, Yakan S, Yıldırım M, et al. N.Recurrents pilonidal sinus disease surgery: Is it second primary or reoperative surgery? National Journal of Surgery. 2015;32(3):162-7.
  • 5. Vedder NB. Flap physiology. Mathes Plastic Surgery, 2nd edition. Philadelphia: Saunders Elsevier Inc.2006. p.483-506.
  • 6. Humphries AE, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am.2010;90:113-24.
  • 7. Büyükakıncak S, Tarım IA, Karapolat B, Ates G. Comparison of different surgical techniques of sacrococcygeal pilonidal sinus disease. J Exp Clin Med.2021;38(3):283-7.
  • 8. Bi S, Sun K, Chen S, Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Scientific reports.2020;10(1):1-11.
  • 9. Duman K, Ozdemir Y, Dandin O. Pilonidal sinus disease Etiological factors, pathogenesis and clinical features. Arch Clin Exp Surg.2016;5:228-232.
  • 10. 10- Surrell JA. Pilonidal disease. Surg Clin North Am.1994;74:1309-15.
  • 11. da Silva JH. Pilonidal cyst: cause and treatment. Dis Colon Rectum.2000;43:1146-56.
  • 12. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg.1992;62:385-9.
  • 13. Urhan MK, Kucukel F, Topgul K, Ozer I, Sarı S. Rhomboid excision and Limberg flap for managing pilonidal sinus: results of 102 cases. Dis Colon Rectum.2002;45:656-9.
  • 14. Tekin A. A simple modification with the Limberg flap for chronic pilonidal disease. Surgery.2005;138:951-3.
  • 15. Kuvvetli A, Cetinkunar S, Parlakgümüs A. Evaluation of etiological risk factors in the development of adult chronic pilonidal disease. Turk J Colorectal Dis.2019;29:75-77.
  • 16. Ates M, Dirican A, Sarac M, Aslan A, Colak C. Short and long-term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease: a prospective randomized study. Am J Surg.2011;202(5):568-73.
  • 17. Allen-Mersh TG. Pilonidal sinus: finding the right track for treatment. Br J Surg. 1990;77:123–32.
  • 18. Al-Jaberi TM. Excision and simple primary closure of chronic pilonidal sinus. Eur J Surg. 2001;167:133–5.
  • 19. Akinci OF, Coskun A, Uzunkoy A. Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure. Dis Colon Rectum.2000;43:701-7.
  • 20. 2Ersoy E, Devay AO, Aktimur R, Doganay B, Ozdoğan M, Gundogdu RH. Comparison of the short-term results after Limberg and Karydakis procedures for pilonidal disease: randomized prospective analysis of 100 patients. Colorectal Dis.2009;11:705–10.
  • 21. Arslan S, Karadeniz E, Ozturk G, Aydinli B, Bayraktutan MC, Atamanalp SS. Modified Primary Closure Method for the Treatment of Pilonidal Sinus. Eurasian J Med. 2016;48(2):84-9.
  • 22. Mentes BB, Leventoglu S, Cihan A, Tatlicioglu E, Akin M, Oguz M. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus. Surg Today.2004;34:419-23.
  • 23. Can MF, Sevinc MM, Hancerliogullari O, Yilmaz M, Yagci G. Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease. Am J Surg. 2010;200(3):318-27.
  • 24. Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M. Does technique alter quality of life after pilonidal sinus surgery?. Am J Surg.2005;190(3):388-392.

Comparison of Limberg Flaps and Karydakis Flaps in The Treatment of Pilonidal Sinus Disease: A Single Physician Experience

Year 2022, Volume: 8 Issue: 3, 340 - 348, 31.08.2022
https://doi.org/10.19127/mbsjohs.1066649

Abstract

Objective: Pilonidal sinus disease (PSD) is a chronic inflammatory disease that impacts quality of life. Many conservative and surgical approaches for treating PSD have been described, but the best surgical method is still up for debate. Our aim is to see whether there is a difference between Limberg flap (LF) and Karydakis flap (KF) procedures in patients with (PSD).
Methods: The study was designed retrospectively. Our research includes a comparison of two patient groups who had PSD surgery performed by a single physician between March 2016 and October 2020. The patients who underwent LF proceure were determined as Group 1, and the patients who underwent KF as Group 2 and the clinical and practical differences between these two techniques were analyzed.
Results: The mean age, duration of surgery and hospitalization were shorter in Group 2 (p=0.019, p=0.0001, p=0.0001, respectively). There was no significant difference between the two groups in terms of the remaining variables.
Conclusion: There was no significant difference between LF and KF procedures in terms of quality of life, recurrence and complications. However, the fact that KF procedure can be completed in a shorter time and patients can be discharged earlier makes this group one step ahead.

References

  • 1. Okus A, Karahan O, Eryilmaz MA, Ay AS, Sevinc B, Aksoy N, et al. Prevelance of Pilonidal Disease in Society, by Age and Sex Distrubution (Early Results). Selcuk Med J.2013;29 (3):120- 122.
  • 2. Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int. J. Colorectal Dis.1995;10(1):39-42.
  • 3. Mentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M. Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg.2008;393(2):185-9.
  • 4. Ucar AD, Cartı EB, Oymacı E, Sarı E, Yakan S, Yıldırım M, et al. N.Recurrents pilonidal sinus disease surgery: Is it second primary or reoperative surgery? National Journal of Surgery. 2015;32(3):162-7.
  • 5. Vedder NB. Flap physiology. Mathes Plastic Surgery, 2nd edition. Philadelphia: Saunders Elsevier Inc.2006. p.483-506.
  • 6. Humphries AE, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am.2010;90:113-24.
  • 7. Büyükakıncak S, Tarım IA, Karapolat B, Ates G. Comparison of different surgical techniques of sacrococcygeal pilonidal sinus disease. J Exp Clin Med.2021;38(3):283-7.
  • 8. Bi S, Sun K, Chen S, Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Scientific reports.2020;10(1):1-11.
  • 9. Duman K, Ozdemir Y, Dandin O. Pilonidal sinus disease Etiological factors, pathogenesis and clinical features. Arch Clin Exp Surg.2016;5:228-232.
  • 10. 10- Surrell JA. Pilonidal disease. Surg Clin North Am.1994;74:1309-15.
  • 11. da Silva JH. Pilonidal cyst: cause and treatment. Dis Colon Rectum.2000;43:1146-56.
  • 12. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg.1992;62:385-9.
  • 13. Urhan MK, Kucukel F, Topgul K, Ozer I, Sarı S. Rhomboid excision and Limberg flap for managing pilonidal sinus: results of 102 cases. Dis Colon Rectum.2002;45:656-9.
  • 14. Tekin A. A simple modification with the Limberg flap for chronic pilonidal disease. Surgery.2005;138:951-3.
  • 15. Kuvvetli A, Cetinkunar S, Parlakgümüs A. Evaluation of etiological risk factors in the development of adult chronic pilonidal disease. Turk J Colorectal Dis.2019;29:75-77.
  • 16. Ates M, Dirican A, Sarac M, Aslan A, Colak C. Short and long-term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease: a prospective randomized study. Am J Surg.2011;202(5):568-73.
  • 17. Allen-Mersh TG. Pilonidal sinus: finding the right track for treatment. Br J Surg. 1990;77:123–32.
  • 18. Al-Jaberi TM. Excision and simple primary closure of chronic pilonidal sinus. Eur J Surg. 2001;167:133–5.
  • 19. Akinci OF, Coskun A, Uzunkoy A. Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure. Dis Colon Rectum.2000;43:701-7.
  • 20. 2Ersoy E, Devay AO, Aktimur R, Doganay B, Ozdoğan M, Gundogdu RH. Comparison of the short-term results after Limberg and Karydakis procedures for pilonidal disease: randomized prospective analysis of 100 patients. Colorectal Dis.2009;11:705–10.
  • 21. Arslan S, Karadeniz E, Ozturk G, Aydinli B, Bayraktutan MC, Atamanalp SS. Modified Primary Closure Method for the Treatment of Pilonidal Sinus. Eurasian J Med. 2016;48(2):84-9.
  • 22. Mentes BB, Leventoglu S, Cihan A, Tatlicioglu E, Akin M, Oguz M. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus. Surg Today.2004;34:419-23.
  • 23. Can MF, Sevinc MM, Hancerliogullari O, Yilmaz M, Yagci G. Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease. Am J Surg. 2010;200(3):318-27.
  • 24. Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M. Does technique alter quality of life after pilonidal sinus surgery?. Am J Surg.2005;190(3):388-392.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Mikail Uyan 0000-0003-4595-4345

Türker Acehan 0000-0001-6890-9825

Publication Date August 31, 2022
Published in Issue Year 2022 Volume: 8 Issue: 3

Cite

Vancouver Uyan M, Acehan T. Comparison of Limberg Flaps and Karydakis Flaps in The Treatment of Pilonidal Sinus Disease: A Single Physician Experience. Mid Blac Sea J Health Sci. 2022;8(3):340-8.

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