THE KARYDAKIS FLAP VERSUS THE LIMBERG FLAP IN THE TREATMENT OF PILONIDAL SINUS DISEASE IN RURAL AREA OF THODUPUZHA

Abstract

Background: The aim of this study was to analyze and compare the results of the modied Limberg ap (MLF) and modied Karydakis ap (MKF) techniques which were performed for the treatment of pilonidal sinus disease (PSD). Methods: The patients who were operated for PSD by the same surgeon between December 2021 and June 2023 in Department of General Surgery AlAzhar Medical College were retrospectively analyzed. 20 patients were enrolled in this interventional comparative clinical study and were divided into two equal groups.Group (1) were operated on via the the karydakis ap and group (2) via the limberg ap. The mean Results: operative time was shorter with the Karydakis group (41.7 ± 4.22 minutes) than with the Limberg group (51.5± 4.17 minutes). There was no signicant difference between both groups regarding overall complication rate .The mean time off work was shorter with the Karydakis procedure(14.6 ± 2.46 days).The healing time was signicantly shorter with the Karydakis group than with the Limberg group(18 ± 3.05 vs 21.6 ± 3.41 days, P= 0.023). The visual analogue score for the cosmetic satisfaction of patients in the Karydakis group was 7.8 ± 1.03, whereas it was 4.2 ± 0.92 in the Limberg group with a p value( < 0.001).Only one patient(10%) from each group developed recurrence. Karydakis Flap Conclusion: has shorter operation time than Modied Limberg ap, however both techniques have a similar complication and recurrence rate. In conclusion MLF and MKF procedures can be safely used as a surgical treatment of PSD.