scholarly journals Limberg flap versus Karydakis flap for treating pilonidal sinus disease: a systematic review and meta-analysis

2019 ◽  
Vol 62 (2) ◽  
pp. 131-138 ◽  
Author(s):  
Paschalis Gavriilidis ◽  
Emil Bota
2021 ◽  
Author(s):  
Markus M. Luedi ◽  
Patrick Schober ◽  
Verena K. Stauffer ◽  
Maja Diekmann ◽  
Lukas Andereggen ◽  
...  

2018 ◽  
Vol 118 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Mohamed Boshnaq ◽  
Yih Chyn Phan ◽  
Iana Martini ◽  
Mohanraj Harilingam ◽  
Mansoor Akhtar ◽  
...  

2019 ◽  
Vol 54 (11) ◽  
pp. 2222-2233 ◽  
Author(s):  
Edward John Oliver Hardy ◽  
Philip J Herrod ◽  
Brett Doleman ◽  
Hannah G Phillips ◽  
Reesha Ranat ◽  
...  

2020 ◽  
Vol 99 (8) ◽  

Introduction: Despite the available guidelines, opinions of many surgeons are quite ambiguous when it comes to the therapy of pilonidal sinus disease. The treatment can be a frustrating problem both for the surgeon and the patient because it is associated with wound complications and high recurrence rate. The objective of this study was to analyze the results of patients with pilonidal sinus disease undergoing the Karydakis flap procedure. Methods: A total of 27 patients treated for primary and recurrent pilonidal disease using the Karydakis flap procedure at our department between October 23, 2018 and November 22, 2019 were analyzed prospectively. We evaluated postoperative wound healing, complications and recurrence of the disease in a short-term follow-up period. Disease recurrence was defined as prolonged healing or as a new disease requiring repeated surgery. Results: In December 2019 all 27 patients came for a follow-up visit. The result was a fully lateralized wound without any signs of a new disease in all patients. In May 2020 a follow-up visit by phone was performed. The median follow-up was 12 months. The healing process was free of any serious complications in 25 patients. Seroma formation cases were managed by puncture in the outpatient setting. Conclusion: According to the available evidence and guidelines, off-midline procedures – the Karydakis flap, Bascom cleft lift, and Limberg flap procedures – are associated with lower recurrence rates and better wound healing. An important goal is to achieve complete wound lateralization and to change the configuration of the gluteal cleft by reshaping it, which results in a nicely flattened gluteal crease.


2012 ◽  
Vol 97 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Akin Onder ◽  
Sadullah Girgin ◽  
Murat Kapan ◽  
Mehmet Toker ◽  
Zulfu Arikanoglu ◽  
...  

Abstract The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010. Patients receiving the Limberg flap totaled 106 (73.6%), while 38 (26.4%) had primary closure. Postoperative complications developed in 42 subjects (29.2%), and recurrence occurred in 19 (13.2%). The Limberg flap method was statistically considered as a risk factor for postoperative complications (P  =  0.039). Regarding recurrence, family tendency (P  =  0.011), sinus number (P  =  0.005), cavity diameter (P  =  0.002), and primary closure (P  =  0.001) were found to be risk factors. Postoperative complication rate is higher in the Limberg flap method than primary closure method. The risk of recurrence is related to family tendency, sinus number, cavity diameter and anesthesia type and is also higher in primary closure.


2016 ◽  
Vol 7 (3) ◽  
pp. 271-275
Author(s):  
Ramu Shapur Srihari ◽  
Appaji Mandya Naveen ◽  
Harinatha Sreekar

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