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

Abstract

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.

Surgical Outcome of Modified Karydakis Flap and Modified Limberg Flab in the Management of Sacroccygeal Pilonidal Disease: A Comparative Study

“…Ahmad et al 2 published that the MKFG had better pain score than the MLFG. Turan 17 published that drain removal time was earlier in the MKFG but it was not significantly different between their two study groups. Ekici et al 12 published that, in their study, the mean time to return to labor was 10 (11.4 ± 4.0) days.…”

“…Also, Turan 17 published that the complication rates were similar in both the MLF and MKF techniques. Ekici et al 12 found that there were no significant statistical differences regarding seroma formation, wound site infection, and wound dehiscence.…”

“…The rate of recurrence in our study was 5.7% (5/67); 3 patients (8.8%) (3/34) in the MKFG developed recurrent disease versus 2 patients (6.1%) (2/33) in the MLFG ( p > 0.99), which is in line with the literature as published by Ekici et al, 12 in whose study the recurrence rate was 5.7%. Turan 17 found that the recurrence was seen in two participants in the MKFG and in one patient in the MLFG and that both operations had a similar recurrence rate. Caliskan et al 18 published that no significant statistical difference in recurrence rates was found and the overall recurrence rate was 4.7%.…”

“…The MKF and MLF procedures have shown to be effective and can be safely used as a treatment of SPD and can both be performed as day-case surgeries, according to Turan, 17 Bessa et al, 15 and Alam et al, 20 who reported good promising surgical outcomes with MKF operations with careful surgical technique as it offers a significantly reduced operating time, less wound dehiscence, and a higher rate of patient cosmetics satisfaction.…”