KARYDAKIS FLAP PROCEDURE VERSUS MODIFIED ROTATION FLAP, IN THE TREATMENT OF COMPLEX SACROCOCCYGEAL PILONIDAL DISEASE

Abstract

Controversy still exists about the best surgical technique for treatment of Pilonidal sinus disease. The aim of this study is to find the preferred option for management of Pilonidal sinus disease. Regarding recurrence rate and post operative complications.
Methods:
A total of 84 patients of chronic Pilonidal sinus disease were randomised to undergo Karydakis procedure (n= 40) the mean age was 29 ± 7.2 years (32 men) or modified rotation procedure (n=44). the mean age was 28 ± 6.6 years (34men) .The demographic data,postoperative results complications and recurrence were documented for comparison of the results. Patients from both the groups were recalled after 12 months to assess recurrence.
Results: The operative time (minute) for group( K) was49.8 ± 1.3 versus 42.7 ± 5.3 in group (R) , also there was no significant difference between both groups as regard hospital stay, pain score, period off work, and healing period . Postoperative scar was an ugly and poor patients satisfaction in group(R) versus group (K), follow-up showed that ,there was no significant difference between both groups as regard incidence of complications and recurrence.Patients in group (K) were satisfied about their cosmetic appearance more than group(R) .
Conclusion: Karydakis procedure more preferred method in treatment of sacrococcygeal Pilonidal disease than the rotational flap method.