COMPARISON OF EARLY OUTCOMES BETWEEN KARYDAKIS FLAP AND LIMBERG FLAP PROCEDURE IN PATIENTS WITH SACROCOCCYGEAL PILONIDAL SINUS DISEASE
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Keywords
Pilonidal Sinus Disease, Karydakis Flap, Limberg Flap, Outcomes
Abstract
Objective: To compare the early outcomes between karydakis flap versus limberg flap procedure in patients with sacrococcygeal pilonidal sinus disease.
Methodology: Prospective cohort study was conducted from 30th July 2024 to 29th January 2025 in Chaudhry Muhammad Akram Teaching Hospital Lahore. Ethical approval was obtained and written informed consent from each patient. 180 patients were enrolled undergoing either Karydakis or Limberg procedure. Patients of either gender aged 18-60 years with a diagnosis within 6 months preceding surgery included. Exclusion was done if diabetic or immunosuppressed; those with active local infection and with known coagulopathy. Follow up was done on post-op day 7 and 14 and early outcomes i.e length of stay, mean operating time, wound infection and seroma formation recorded. All data was entered and anlaysed using SPSS V 25.0. Quantitative variables were assessed using student t-test and qualitative variables using chi-square analysis with p-value≤0.05 as significant.
Results: There was significant difference observed between groups for wound infection (p=0.003) and seroma formation (p=0.001). There was no difference observed for length of stay and mean operating time. Younger patients, aged less than 40 years had significantly lower wound infections and seroma formation with Limberg flap as compared to Karydakis. Overweight patients had significantly lower wound infections with Limberg flap however this difference was not observed in obese patients.
Conclusion: Limberg flap procedure was found superior to Karydakis flap procedure in patients with sacrococcygeal pilonidal sinus disease in terms of significantly lower frequency of wound infection and seroma formation.
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Dr Omer Zafar
Senior Registrar Chaudhry Muhammad Akram Teaching and Research Hospital, Pakistan
Dr Zubair Fayyaz
Senior Registrar Gurki Trust and Teaching Hospital, Pakistan
Dr Aruj Alam
Professor Continental Medical College, Pakistan
Dr Muhammad Shoaib
Professor Azra Naheed Medical College, Chaudhry Muhammad Akram Teaching and Research Hospital, Pakistan
Dr Ch Muhammad Aqeel
Associate Professor Azra Naheed Medical College, Chaudhry Muhammad Akram Teaching and Research Hospital, Pakistan
Dr Asghar Ali
Senior Registrar Sir Ganga Ram Hospital, Pakistan
Dr Muhammad Junaid Cheema
Senior Registrar Sir Ganga Ram Hospital, Pakistan