Effectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease

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dc.authorid0000-0003-2006-9198
dc.authorid0000-0001-8707-5301
dc.authorid0000-0001-6758-7289
dc.authorid0000-0001-9111-2734
dc.authorscopusid55624501100
dc.authorscopusid35791793300
dc.authorscopusid35410250800
dc.authorscopusid17433815200
dc.authorscopusid36134374200
dc.authorscopusid24398544300
dc.authorscopusid8431600000
dc.authorwosidCetinkunar, Suleyman/AFP-2813-2022
dc.authorwosidSözen, Selim/ABA-6337-2020
dc.authorwosidAZİRET, MEHMET/I-5483-2014
dc.authorwosidirkorucu, oktay/AAL-7383-2020
dc.contributor.authorBali, İlhan
dc.contributor.authorAziret, Mehmet
dc.contributor.authorSözen, Selim
dc.contributor.authorEmir, Seyfi
dc.contributor.authorErdem, Hasan
dc.contributor.authorÇetinkunar, Süleyman
dc.contributor.authorIrkorucu, Oktay
dc.date.accessioned2022-05-11T14:34:55Z
dc.date.available2022-05-11T14:34:55Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractOBJECTIVE: Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus. MATERIALS AND METHODS: This prospective and randomized study enrolled 71 patients with recurrent pilonidal sinus in whom the Limberg flap or Karydakis flap techniques were applied for reconstruction after excision. Patients were divided into two groups as follows: 37 patients were treated with the Limberg flap technique and 34 patients were treated with the Karydakis flap technique. Fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, complete healing time, painless seating and patient satisfaction were compared between the groups. ClinicalTrial.gov: NCT02287935. RESULTS: The development rates of total fluid collection, wound infection, flap edema, hematoma, and partial wound separation were 9.8%, 16%, 7%, 15% and 4.2%, respectively; total flap necrosis was not observed in any patient (p<0.001). During the average follow-up of 28 months, no patients (0%) developed recurrent disease. The two groups differed with respect to early surgical complications (p<0.001). CONCLUSION: In this study, use of the Limberg flap was associated with lower complication rates, shorter length of hospital stay, early return to work, low pain score, high patient satisfaction and better complete healing duration. Therefore, we recommend the Limberg flap for treatment of recurrent pilonidal sinus.
dc.identifier.doi10.6061/clinics/2015(05)08
dc.identifier.endpage355
dc.identifier.issn1807-5932
dc.identifier.issn1980-5322
dc.identifier.issue5en_US
dc.identifier.pmid26039952
dc.identifier.scopus2-s2.0-84930511910
dc.identifier.scopusqualityQ3
dc.identifier.startpage350
dc.identifier.urihttps://doi.org/10.6061/clinics/2015(05)08
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8143
dc.identifier.volume70
dc.identifier.wosWOS:000355800500008
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBali, İlhan
dc.institutionauthorSözen, Selim
dc.institutionauthorEmir, Seyfi
dc.language.isoen
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.relation.ispartofClinics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKarydakis flap
dc.subjectLimberg technique
dc.subjectRecurrent pilonidal sinus
dc.subjectRandomized-Trial
dc.subjectPrimary Closure
dc.subjectSurgery
dc.subjectManagement
dc.subjectOperation
dc.subjectExcision
dc.titleEffectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease
dc.typeArticle

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