Document Type
Original Article
Abstract
Background: Pilonidal sinus disease is an acquired disease that usually impacts young people and causes a lot of pain and discomfort after surgery.
Aim & objectives: This research aimed to compare the karydakis operation and the rhomboidal flap for the treatment of pilonidal sinus in terms of post-operative pain, length of hospital stay, recovery time, complications, and recurrence rate.
Patients and Methods: This research was performed at the Al-Azhar University Hospitals' General Surgery Department between March 2021 and February 2022. There were 34 people who had been diagnosed with sacrococcygeal pilonidal sinus. The patients were divided equally into two groups : Group A : karydakis technique was used for excision and closure Group B : Rhomboid flap was used for excision and closure
Results: highly statistical significant (p-value > 0.05) decreased post-operative VAS in group A (5.5 ± 1.1) when compared with post-operative VAS of group B (8.6 ± 0.9), statistical insignificant difference (p-value > 0.05) between both the studied groups (group A and group B) as regard post-operative complications (complete healing, wound breakdown and recurrence)
Conclusion: The Karydakis procedure is better in terms of time to remove stitches, time to resume work, shorter operation length, and less discomfort in the therapy of non-recurrent pilonidal sinus. The rhomboidal flap differs in that it may be used on patients with significant pilonidal sinus disease and lateral extension.
Keywords
Keywords: Karydakis Flap, rhomboidal flap, Sacrococcygeal pilonidal sinus
How to Cite This Article
Sultan, Ahmed Abd El Aal; Semary, Mohammed Abdullah Mohamed Hassan; and Mahmoued, Mohamed Hafez
(2023)
"Comparative Study between Karydakis Flap and rhomboidal flap in treatment of Sacrococcygeal pilonidal sinus,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
4, Article 23.
DOI: https://doi.org/10.58675/2682-339X.1727
