2022
DOI: 10.1093/bjsopen/zrac007
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Abstract: Background There are several surgical options for the management of pilonidal disease, including midline and off midline closure, but prospective studies are rare. The study hypothesis was that Karydakis flap surgery would result in shorter wound healing and fewer recurrences than excision of pilonidal sinus and suture in the midline. Methods A randomized clinical trial was conducted in two hospitals in Sweden between 2006 an… Show more

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Cited by 7 publications
(2 citation statements)
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“…However, it is also associated with wound complication rates ranging from 14% to 74%, including high rates of infection and wound dehiscence . The off-midline closure techniques discussed subsequently are associated with lower recurrence and complication rates . For this reason, if wide excision with primary closure is performed, off-midline closure is preferred …”
Section: Introductionmentioning
confidence: 99%
“…However, it is also associated with wound complication rates ranging from 14% to 74%, including high rates of infection and wound dehiscence . The off-midline closure techniques discussed subsequently are associated with lower recurrence and complication rates . For this reason, if wide excision with primary closure is performed, off-midline closure is preferred …”
Section: Introductionmentioning
confidence: 99%
“…Despite being a relatively common condition, prospective trials regarding pilonidal disease are rare. I was delighted to see multicentre RCT from Sweden comparing midline suturing to Karydakis flap 1 . Wound healing was faster (median 49 versus 14 days) in patients randomized to Karydakis flap, but the recurrence rate was equally low, slightly less than 10 per cent, in both groups in a remarkable median 11-year follow-up.…”
mentioning
confidence: 99%