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
Published Version
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