Aim: The purpose of this study was to evaluate patients with sacrococcygeal pilonidal sinus disease (SPSD) who underwent Karydakis procedure at our centre with reference to the perioperative findings, early and late postoperative results and recurrence.
Materials And Methods: A total of 103 patients presenting with SPSD at our centre underwent Karydakis flap repair from January 2001 to December 2010. These patients were then followed-up and evaluated with respect to operative time, drain use, hospital stay, suture removal, complications, and recurrence.
Results: The mean operative time was 74.9 min with a median hospital stay of 5 days. Drains were removed at a median of 7 days and sutures at a median of 15 days. Twenty-one patients presented with serous collection in the wound. Six patients had wound infection. Patients were followed-up for a median of 29 months. No recurrences were noted in any of the cases.
Conclusion: Karydakis flap procedure is a relatively simple procedure for SPSD with reproducible low recurrence rates.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292120 | PMC |
| http://dx.doi.org/10.4103/0970-0358.146615 | DOI Listing |
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Article Synopsis
- Surgically treated pilonidal sinus disease (PSD) has high rates of wound complications, including surgical wound dehiscence, and this study aimed to see if negative pressure wound therapy (NPWT) can reduce these rates compared to conventional dressings.
- A randomized controlled trial involved 50 patients aged 12-40 undergoing PSD excision, with equal splits between NPWT and conventional dressing; however, results showed no significant difference in wound dehiscence rates or recovery times between the two groups.
- The study concluded that NPWT did not improve surgical outcomes for patients treated for PSD when compared to conventional passive dressings.
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