Comparative study of limberg’s rotation flap versus karydakis procedure in pilonidal sinus surgery

Abstract

Introduction: Pilonidal sinus regularly affects upon young males. Various etiological speculations and treatment techniques have been depicted for treating sacrococcygeal pilonidal disease (SPD), prompting ceaseless discussions about the best treatment methodology. This review was directed to look at the short and long-haul inconveniences and aftereffects of the Limberg flap with that of the Karydakis flap as cosmesis, recurrence and wound mending. Objectives: In this forthcoming randomized review, 54 patients with SPD were conceded to go through either the Karydakis flap (n = 27) or the Limberg's flap (n = 27) method amidst July 2019 and July 2020. Methods: The mean employable time for the Limberg group (55.15 ± 7.65 minutes) was more limited as compared to the Karydakis group (46.55 ± 9.5 minutes) (P). The inconvenience rate for the the Limberg group (n = 7) [26%]) was higher as compared to Karydakis group (n = 4) [14%]) (P). The visual simple scale score for post-operative agony at the activity site on the 30th day was higher in the Limberg group as compared to the Karydakis group (3.55 ± 1.25 versus 2.44 ± 1.11, P .01). The visual simple scale score for cosmesis of scars in the Karydakis group was 7.78 ± 1.92, while it was 3.47 ± 1.54 in the Limberg group at the third month (P). Length of clinic stay was fundamentally less limited in the Limberg group as compared to the Karydakis group (3.8 1.19 versus 3.40 .94 days, P<.03). Just four patients in the Karydakis group created repeat (3%), while 9 patients did as in the Limberg group (P <.151). Conclusion: Karydakis flap ought to be the favoured strategy than Limberg flap for treating simple SPD for its more limited activity time, lower torment score, more limited length of clinic stay, lower early postoperative inconveniences, and better superficial result. As far as disease repeat, no distinction was found amidst the two careful methods.