EFFECTIVENESS OF LIMBERG FLAP AND KARYDAKIS PROCEDURE IN PILONIDAL SINUS DISEASE – A COMPARATIVE INTERVENTIONAL STUDY IN A TERTIARY CARE CENTRE OF EASTERN INDIA.

Abstract

Objective: Pilonidal sinus disease (PSD) is a common disease of natal cleft in Sacro- coccygeal region. It is more common in young male and may recur over time with surgery. We compared the effectiveness, outcomes and recurrence rates of Limberg ap and Karydakis procedure techniques in PSD. This is a comparative interventional study among 32 enrolled patients Materials And Methods: with pilonidal sinus disease. Patients were divided into two groups 16 patients (group KD) were treated with Karydakis procedure and 16 patients (group LF) were treated with Limberg ap technique. Seroma collection, wound infection, ap edema, hematoma, partial wound separation, pain score, return to normal activities, complete healing time, painless seating and patient satisfaction were compared between 2 groups (group KD and LF). the development rates of Results: seroma collection, wound infection, ap edema, hematoma, partial wound separation were 12.5%,18.75%,6.25%, 18.75%,18.75% in KD group as compared to 25%, 12.5%,12.5%, 0%, 0% in LF group respectively. Total ap necrosis was not observed in any patient (p<0.001). During the average follow up period of 12months, 2 (12.5%) of KD pts developed recurrence. In this study, the u Conclusion: se of Limberg ap was associated with lower complication rates, shorter length of hospital stays, early return to work, low pain score, high patient satisfaction, better complete healing. Therefore, we recommend Limberg ap for treatment of pilonidal sinus