Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery

Karaca, Turgut; Yoldaş, Ömer; Bilgin, Bülent Çağlar; Özer, Sema; Yoldaş, Suna Sadıç; Karaca, Nihal

doi:10.1016/j.ijsu.2012.10.001

Cited by 41 publications

(41 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Karaca et al reported 5.7% recurrence and 22.9% complication rate. 9 As similar in this study, the recurrence rate was 4.1% and the complication rate was 12,2% in the MKF group.…”

Section: Resultssupporting

confidence: 84%

Modified Limberg flap versus modified Karydakis flap in pilonidal sinus disease: single surgeon experience

Turan¹

2019

Int Surg J

View full text Add to dashboard Cite

Background: The aim of this study was to analyze and compare the results of the modified Limberg flap (MLF) and modified Karydakis flap (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 November 2010 and July 2013 in Konya Seydisehir Hospital were retrospectively analyzed. A total of 106 patients were evaluated in this study regarding age, gender, operation time, length of hospital stay, and postoperative complications.Results: There were 14 female and 92 male patients (MLF; 5/52 and MKF; 9/40). MLF was performed in 57 (53.8%) patients and MKF was performed in 49 (46.2%) patients. Length of Hospital stay and drain removal time were less in MKF group but it was not significantly different between two groups (p>0.05). Operation time was shorter in MKF group than MLF group (p<0.05). The complication rates of the MLF and MKF groups were 10.5% and 12.2% respectively. The recurrence was seen in 1 patient in MLF group and 2 in MKF group.Conclusions: MKF has shorter operation time than MLF, 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.

show abstract

“…Karaca et al reported 5.7% recurrence and 22.9% complication rate. 9 As similar in this study, the recurrence rate was 4.1% and the complication rate was 12,2% in the MKF group.…”

Section: Resultssupporting

confidence: 84%

Modified Limberg flap versus modified Karydakis flap in pilonidal sinus disease: single surgeon experience

Turan¹

2019

Int Surg J

View full text Add to dashboard Cite

show abstract

“…The same study further found no significant difference between the groups in terms of full healing time. 22 In their prospective randomized study, Ertan et al found that Limberg flap is advantageous compared with primary repair in terms of painless walking and return-to-work time; whereas they did not find any significant difference between the groups in terms of painless toilet-sitting time and hospital stay. 18 In their prospective randomized study on 269 patients, Ates et al found that Limberg flap is superior to Karydakis flap in terms of operation time and hospital stay time; on the other hand they did not find any significant difference between the groups in terms of time of return to normal activity, and postop pain.…”

Section: Discussionmentioning

confidence: 96%

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Tokaç¹,

Dumlu²,

Aydın³

et al. 2015

International Surgery

View full text Add to dashboard Cite

The best surgical technique for pilonidal sinus disease (PSD) is still disputed. The objective of this prospective randomized study is to compare the short and long-term results of modified Limberg flap and Karydakis flap surgeries that have been widely used in recent years. Ninety one patients were included in the study. The patients were divided into two groups: modified Limberg flap (MLF; n ¼ 46) and Karydakis flap (KF; n ¼ 45). Preoperative findings of the patients, their surgical findings, and short and long-term postoperative findings were recorded and statistically compared. While no significant difference was discovered between the groups in terms of postoperative analgesic need, hospital stay, postoperative infection rate, drain stay time, painless sitting time, painless toilet-sitting time, and painless walking time, return to work or school time was shorter in the MLF group compared with the KF group (20.61 6 7.89 days, 23.29 6 6.42, respectively; P , 0.05). Cosmetically, the visual analog scale (VAS) of the KF group was significantly higher than that of the MLF group (VAS score 7.12 6 1.28, 5.45 6 1.77, respectively; P , 0.05). Considering recurrence rates, no statistically significant difference was found between the groups. Our study found out that short and longterm results of the MLF and KF procedures are similar. We believe both methods can be safely used in surgical PSD treatment given that in the MLF procedure, shorter return-towork time is achieved, while the procedure provides better cosmetic results.

show abstract

“…In our study, the lengths of hospital stay in the LF and the KF groups were 1.48 ± 0.50 and 1.41 ± 0.49 days, respectively. Karaca et al [29] reported that the lengths of hospital stay were 1.1 and 1 days for the Limberg and the Karydakis flap surgeries, respectively. In a study by Bali et al [23], the durations of hospital stay were 1 and 2 days in the LF and the KF groups, respectively.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients With Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study

et al. 2019

View full text Add to dashboard Cite

Purpose: Pilonidal sinus disease is a common condition, which mostly affects young men. While various surgical techniques have been introduced for treating intergluteal pilonidal disease (IPD), controversies still exist regarding the best surgical approach. The purpose of this study was to compare the efficiency and the short-term outcomes of Limberg flap and Karydakis flap surgeries for the treatments of patients with IPD. Methods: A total of 80 patients with IPD who had underwent either Karydakis flap (KF group: n = 37) or Limberg flap (LF group: n = 27) surgery between January 2015 and January 2016 at Imam Khomeini Hospital of Sari in the North of Iran were recruited for inclusion in this randomized, single-blind study. Results: Compared to the KF group, the LF group showed faster complete wound healing, longer duration of surgery and hospital stay, larger wound size, and shorter period of incapacity for work. The overall patient satisfaction in the LF group was significantly higher than that in the KF group. The visual analogue scale score of pain was lower in the LF group than in the KF group. Also, the overall frequency of postoperative complications was higher in the KF group than in the LF group. Recurrence was reported in one patient from the KF group. Conclusion: Given the lower rate of postoperative complications and greater cosmetic satisfaction of patients, the Limberg flap procedure should be selected, instead of the Karydakis flap procedure, as the standard technique for treating patients with IPD.

show abstract

Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery

Cited by 41 publications

References 26 publications

Modified Limberg flap versus modified Karydakis flap in pilonidal sinus disease: single surgeon experience

Modified Limberg flap versus modified Karydakis flap in pilonidal sinus disease: single surgeon experience

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients With Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study

Contact Info

Product

Resources

About