Sakrokoksigeal pilonidal sinüsün cerrahi tedavisinde Karydakis flep ile Limberg flep ameliyatlarının karşılaştırılması (erken dönem sonuçları)

Sözen, Selim; Topuz, Ömer; Dönder, Yunus; Emir, Seyfi; Özdemir, Cengizhan Şan; Keçeli, Mustafa; Baktır, Hacı Ahmet; Sarıcık, Bekir
September 2010
Turkish Journal of Surgery / Ulusal Cerrahi Dergisi;2010, Vol. 26 Issue 3, p153
Academic Journal
Purpose: Pilonidal sinus is an intergluteal region disease with acute or chronic pain and is especially more common in young men. There are many medical modalities and surgical techniques in the treatment of this disease. At this study we aimed to present two different types of surgical methods and their follow-up results in patients with pilonidal sinus. Patients and Methods: Patients with pilonidal sinus disease were treated by excision plus primary closure (Group 1, n=68) or rhomboid excision plus Limberg flap advancement (Group 2, n = 74). Data were collected retrospectively and demographic data, operation time, hospital stay duration, time-off from work, follow-up time, number of patients with recurrence and time to recurrence were evaluated in all patients. Results: No significant difference was detected between group 1 and 2 in terms of gender and duration of operation time (p =0.651). Hospital stay duration (1.44 [1-3] days, p<0.001) and time off from work (12 [8-14] days, p<0.001) were found to be shorter in rhomboid excision with Limberg flap advancement (Group 2). Serous fluid collection and discharge were seen at the site of the lesion in four patients (5.81%) in group 1 (n = 68), and in four patients (5.4%) in group 2 (n=74). Subcutaneous hematoma was detected in one patient (1.35%) in group 2. During the follow-up period, none of the patients developed wound infection. Recurrence was seen in one patient (1.5%) in group 1. Conclusion: Limberg flap closure method is better and more effective than Karydakis flap in pilonidal sinus disease, because of wound infection control at early stage and less recurrence rate at later stage and early return to daily life.


Related Articles

  • Oblique Excision and Primary Closure of Pilonidal Sinus (Sacrococcygeal). Ibrahim, Al-Metwaly Ragab Ragab // Trends in Medical Research;2012, Vol. 7 Issue 2, p62 

    Pilonidal sinus is a chronic disease of young age located at the sacrococcygeal region and is found mostly in males. The pathogenesis is generally accepted as the invagination of hair into the skin, followed by foreign body reaction leading to inflammation and abscess formation. The best...

  • The prognostic impact of positive lymph nodes in stages T1 to T3 incidental gallbladder carcinoma: results of the German Registry. Goetze, Thorsten; Paolucci, Vittorio // Surgical Endoscopy;May2012, Vol. 26 Issue 5, p1382 

    Background: In the literature, the 5 year survival rates for incidental gallbladder carcinoma (IGBC) show large variations in the different T-stages because the lymph node status often is not addressed. Most early-stage carcinomas are identified by laparoscopy as IGBC, and radical re-resection...

  • Excision and Partial Primary Closure of Wound for Pilonidal Disease. Lasheen, Ahmed; Safwat, Khalid; Morsy, Mansour; Fiad, Alaa; Elmoregy, Abdelwahab // Surgical Science;Jul2012, Vol. 3 Issue 7, p366 

    Background: Pilonidal disease is a common chronic disorder of the sacrococcygeal region; and its surgical management is still a matter of discussion. The ideal therapy would be a quick cure that allowed patients to return rapidly to normal activity, that is minimally invasive with no morbidity,...

  • Skin Glue Improves Outcome after Excision and Primary Closure of Sacrococcygeal Pilonidal Disease. Othman, Ibrahim // Internet Journal of Surgery;2009, Vol. 20 Issue 1, p30 

    AIM: evaluating the effect of Histoacryl on the outcome and recurrence rate after excision and primary closure of sacrococcygeal pilonidal disease. PATIENTS AND METHODS: Forty patients with sacrococcygeal pilonidal sinus were randomly divided into 2 equal groups through computer randomization...

  • Pilonidal sinüs tedavisinde rhomboid eksizyon ve limberg fleb onarımı: Erken dönem sonuçları. Buluş, Hakan; Coşkun, Ali // Dicle Medical Journal / Dicle Tip Dergisi;2011, Vol. 38 Issue 3, p335 

    Objectives: Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Treatment varies in relation to the presentation of the disease. Accordingly, several surgical methods show that the most ideal method is not still found because of high recurrence rates. We investigated the...

  • Intradermal absorbable sutures to close pilonidal sinus wounds: a safe closure method? Milone, Marco; Musella, Mario; Maietta, Paola; Bianco, Paolo; Taffuri, Caterina; Salvatore, Giuseppe; Milone, Francesco // Surgery Today;Sep2014, Vol. 44 Issue 9, p1638 

    Purpose: The aim of this study was to demonstrate the safety of using intradermal absorbable sutures for pilonidal sinus skin closure. Methods: The study was prospectively carried out in 203 patients randomized into two groups of patients. In the first group (103 patients), interrupted sutures...

  • Endoscopic Mucosectomy of the Esophagus. Seewald, Stefan; Omar, Salem; Soehendra, Nib // American Journal of Gastroenterology;Feb2007, Vol. 102 Issue 2, p236 

    The article provides information about endoscopic mucosal resection (EMR). It is defined as local snare excision of the gastrointestinal wall's mucosa. EMR is indicated for lesions with noninvasive high-grade neoplasias that include high-grade intraepithelial neoplasia and well- and moderately...

  • Short term results of complete (D3) vs. standard (D2) mesenteric excision in colon cancer shows improved outcome of complete mesenteric excision in patients with TNM stages I-II. Storli, K.; Søndenaa, K.; Furnes, B.; Nesvik, I.; Gudlaugsson, E.; Bukholm, I.; Eide, G. // Techniques in Coloproctology;Jun2014, Vol. 18 Issue 6, p557 

    Background: The aim of the present study was to investigate whether the new method of complete mesocolic excision (CME) with a high (apical) vascular tie (D3 resection) had an immediate effect compared with a conventional (standard) approach even in those patients without lymph node metastases....

  • Updates in Surgical Oncology. Blidaru, Alexandru // Romanian Journal of Medical Practice;2011, Vol. 6 Issue 3, p234 

    The article presents information on developments in surgical oncology. The basic principles in surgical oncology are tumor excision, regional lymph node removal, treatment of regional recurrence and distant metastasis. Paradigms have shifted in surgical oncology from maximum tolerable treatment...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics