Is Routine Cavity Drainage Necessary in Karydakis Flap Operation? A Prospective, Randomized Trial

Gürer, Ahmet; Gömceli, İsmail; Özdoğan, Mehmet; Özlem, Nuraydın; Sözen, Selim; Aydin, Recep

doi:10.1007/s10350-005-0108-7

Cited by 67 publications

(69 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Drainage in PSD is used not only to prevent postoperative complications and hematoma but also to eliminate the potential cavity following excision. 19,32 In this study, drainage was not correlated with postoperative complication or recurrence. Postoperative healing time for PSD ranged between 13 and 30 days.…”

Section: Discussionmentioning

confidence: 66%

See 1 more Smart Citation

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

Önder

Gırgın

Kapan

et al. 2012

International Surgery

View full text Add to dashboard Cite

The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010. Patients receiving the Limberg flap totaled 106 (73.6%), while 38 (26.4%) had primary closure. Postoperative complications developed in 42 subjects (29.2%), and recurrence occurred in 19 (13.2%). The Limberg flap method was statistically considered as a risk factor for postoperative complications (P = 0.039). Regarding recurrence, family tendency (P = 0.011), sinus number (P = 0.005), cavity diameter (P = 0.002), and primary closure (P = 0.001) were found to be risk factors. Postoperative complication rate is higher in the Limberg flap method than primary closure method. The risk of recurrence is related to family tendency, sinus number, cavity diameter and anesthesia type and is also higher in primary closure.

show abstract

Section: Discussionmentioning

confidence: 66%

“…Postoperative healing time for PSD ranged between 13 and 30 days. 18,32 The group with postoperative complications in the present study had a healing period of over 1 month. Though rare, malignant formation is also possible during long-term PSD follow-ups.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

Önder

Gırgın

Kapan

et al. 2012

International Surgery

View full text Add to dashboard Cite

show abstract

“…9 Although several medical and surgical methods exist, ranging from phenol application to complex advancement flaps, no optimal treatment method has been defined yet due to high complication and recurrence rates. 10,11 Recently, lateralization of the natal cleft has gained significance in surgical PSD treatment. The purpose with this method is to prevent recurrence on the midline by removing the cavity in the natal cleft.…”

mentioning

confidence: 99%

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

“…Al respecto Gurer demuestra en un trabajo randomizado menor incidencia de seroma con utilización de drenaje aunque la recidiva fue similar 16 . Sobre la hospitalización de 2,5 días en promedio, esta se explica en el retiro de drenaje en este perío-do, habiendo ya series que manejan los pacientes en forma ambulatoria 17,18 .…”

Section: Discussionunclassified

Resultados a corto y largo plazo con la técnica de Karydakis para la enfermedad pilonidal sacrocoxígea

Readi

et al. 2013

Rev Chil Cir

View full text Add to dashboard Cite

Short-and long-term results with Karydaki's technique for sacrococcygeal pilonidal diseaseIntroduction: Sacrococcygeal pilonidal cyst or sinus is a common condition in young people. There is still discussion about which of the many existing techniques is best suited to resolve this condition. Objective: To analyze the short-and long-term use of Karydaki's technique in our Hospital. Material and Methods: We analyzed prospective protocols from patients with pilonidal cyst with Karydaki's technique from June 2005 to August 2010. Clinical and telephonic follow-up was done to all patients and a satisfaction survey done to a random sample of the series. Results: We analyzed 62 patients with mean age of 24.5 years (15-45), being 33 men (53%). Cysts were previously relapsed in 20.9% of cases. The average hospital stay was 2.5 days (1-3). Early complications occurred in 14.3% of patients being the most common seroma in 8% and dehiscence in 6.4%. At a mean follow up of 38 months (12-62), relapse occurred in two patients (3.2%), one at 6 months and the other at 3 years, being resolved one by a new Karydaki's technique and the other with marsupialization. Among the group surveyed for satisfaction, 75% found the technique satisfactory or very satisfactory in terms of aesthetics and 95% would recommend this technique. Conclusions: Karydaki's operation achieves with a simple and aesthetic technic a low recurrence and morbidity and a complete recovery after 15 days in most patients.

show abstract

Is Routine Cavity Drainage Necessary in Karydakis Flap Operation? A Prospective, Randomized Trial

Abstract: The present study indicates that routine cavity drainage reduces the incidence of fluid collection after the Karydakis flap operation.

Cited by 67 publications

References 11 publications

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

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

Resultados a corto y largo plazo con la técnica de Karydakis para la enfermedad pilonidal sacrocoxígea

Contact Info

Product

Resources

About