Unroofing and Marsupialization vs. Rhomboid Excision and Limberg Flap in Pilonidal Disease

Karakayalı, Feza; Karagülle, Erdal; Karabulut, Zülfikar; Öksüz, E; Moray, Gökhan; Haberal, Mehmet

doi:10.1007/dcr.0b013e31819a3ec0

Cited by 82 publications

(83 citation statements)

References 26 publications

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“…Treatment of pilonidal sinus disease contains many different techniques from simple drainage to complicated flaps (8)(9)(10)13). The treatment may vary with the disease condition and the surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are many different opinions regarding the surgical treatment of pilonidal sinus disease in the literature, the common issues are that surgery should be simple and easily applicable, that the hospital length of stay should be short, with less postoperative wound care and pain, low recurrence rates and short period to return to daily activities (4)(5)(6). That is why various surgical techniques like sinotomy, marsupialization, Karydakis, oblique primary repair and flap techniques have been applied and compared for many years (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

Akan¹,

Tıhan²,

Duman³

et al. 2014

UCD

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Objective: This study was designed to compare the efficacy of crystallized phenol method with Limberg flap in pilonidal sinus treatment. Material and Methods:Patients with a diagnosis of pilonidal sinus disease treated with surgical excision + Limberg rhomboid flap technique and crystallized phenol method between 2010-2011 in the Şevket Yılmaz Training and Research Hospital, Department of General Surgery were evaluated retrospectively. Patients' age, sex, length of hospital stay, complications and recurrence rates were evaluated.Results: Eighty eight percent of patients were male and mean age was 26.84±6.41 in the Limberg group, and 24.72±5.00 in the crystallized phenol group. Sinus orifice locations and nature, and duration of symptoms before surgery were similar in the two groups. Length of hospital stay in the Limberg group was 1.46±0.61 days; whereas all patients in the crystallized phenol group were discharged on the same day. Infection, hematoma, wound dehiscence, and cosmetic problems were significantly higher in the Limberg group. There was no difference between the two groups in terms of recurrence and seroma formation. Conclusion:The less invasive method of crystallized phenol application may be an alternative approach to rhomboid excision and Limberg flap in patients with non-complicated pilonidal sinus disease, yielding acceptable recurrence rates.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

Akan¹,

Tıhan²,

Duman³

et al. 2014

UCD

View full text Add to dashboard Cite

show abstract

“…The importance of cosmetic outcome was evaluated only a few studies. Karakayal› et al 19 reported a small but statistically significant preference for off-midline closure than for midline closure, where satisfaction was measured by using a 0-10 visual analogue scale. Interestingly, Holmebakk et al 20 reported postoperative cosmetic result was satisfactory only in 42% of patients; the result was poor in 30% of patients.…”

Section: Resultsmentioning

confidence: 99%

Body Image and Cosmesis after Pilonidal Disease Surgery

Şengül¹,

Dinler²,

Kıyan³

et al. 2011

Kolon Rektum Hast Derg

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“…La técnica ideal para resolver esta patología debiera ser simple, tener una rápida recuperación y baja recidiva 1 . La técnica abierta más utilizada es la marsupialización con recidivas cercanas al 3%, sin embargo, esta téc-nica requiere de curaciones de hasta 40 días hasta su cicatrización completa [3][4][5]7 . Con la técnica de Karydakis el retiro de los puntos se realiza a los 15 días en forma rutinaria, sin requerir más cuidados de la cicatriz en el 94% de los casos luego de este plazo.…”

Section: Discussionunclassified

“…Estos hechos han motivado la descripción de múltiples técnicas, algunas más conservadoras desde cuidados de la zona sacrocoxígea hasta otras más definitivas, consistiendo en cirugías que ya sea dejan la herida abierta o practican cierre primario de ésta, siendo aún discutido cual es la mejor técnica 1,2 . Aunque las técnicas abiertas describen baja recidiva, requieren de tiempo prolongado de cicatrización y curaciones [3][4][5] . Respecto a las técnicas cerradas, en la última década se ha demostrado que los procedimientos con cierre asimétrico presentan menor recidiva que las de simple cierre primario en la línea media pudiendo estas últimas presentar recidivas de hasta 20% 6,7 .…”

Section: Introductionunclassified

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

Readi

et al. 2013

Rev Chil Cir

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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.

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Unroofing and Marsupialization vs. Rhomboid Excision and Limberg Flap in Pilonidal Disease

Cited by 82 publications

References 26 publications

Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

Body Image and Cosmesis after Pilonidal Disease Surgery

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

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