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Journals / Bakırköy Tıp Dergisi / 2012 / Cilt: 8 - Sayı: 2

Comparison of the clinical outcomes of Karydakis flap versus primary closure procedures in the surgical treatment of sacrococcygeal pilonidal sinus disease

Sakrokosigeal pilonidal sinüs hastalığının cerrahi tedavisinde Karydakis şap ile primer kapama prosedürlerinin klinik sonuçlarının karşılaştırılması

Toygar TOYDEMİR
Onur PEŞLUK
Elif ERMEÇ DİLER
Ahmet Nuray TURHAN
Pages
78–81
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In the surgical treatment of pilonidal sinus disease, Karydakis flap procedure is a more effective method than PC with lower complication and recurrence rates.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to compare the clinical outcomes of Karydakis flap versus primary closure (PC) which are two often applied surgical procedures in the treatment of sacrococcygeal pilonidal sinus disease.
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Key Findings & Data:Material and Methods: The patients who underwent Karydakis flap and PK procedures with the diagnosis of sacrococcygeal pilonidal sinus disease between January 2007 and December 2010 were retrospectively analyzed in a prospectively collected database.
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Conclusion & Impact:Conclusion: In the surgical treatment of pilonidal sinus disease, Karydakis flap procedure is a more effective method than PC with lower complication and recurrence rates.
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study is to compare the clinical outcomes of Karydakis flap versus primary closure (PC) which are two often applied surgical procedures in the treatment of sacrococcygeal pilonidal sinus disease. Material and Methods: The patients who underwent Karydakis flap and PK procedures with the diagnosis of sacrococcygeal pilonidal sinus disease between January 2007 and December 2010 were retrospectively analyzed in a prospectively collected database. Chi-square and t test was used for statistical studies. Results: 130 patients were operated during the study period. PC was the procedure of the choice in 62 (47.7%) and Karydakis flap was performed in 68 (52.3%) patients. Following PC, 4 (6.5%) patients had infections, 14 (22.6%) patients had wound disruption. These complications were seen in 3% and 0, in Karydakis group, respectively (p<0.05). Hematoma was detected in 12 (9.2) patients and distribution between the groups was similar (p>0.05). At the end of a year, recurrence rates were 16.1% and 2.9% for PC and Karydakis, respectively (p<0.05). Conclusion: In the surgical treatment of pilonidal sinus disease, Karydakis flap procedure is a more effective method than PC with lower complication and recurrence rates.

Özet

Amaç: Çalışmamızın amacı sakrokoksigeal pilonidal sinüsün cerrahi tedavisinde sıklıkla uygulanan iki prosedür olan Karydakis flap ameliyatı ile primer kapama (PK) prosedürünün klinik sonuçlarını karşılaştırmaktır. Gereç ve Yöntem: Ocak 2008- Aralık 2011 tarihleri arası sakrokosigeal pilonidal sinüs tanısı ile ameliyat edilen ve cerrahi prosedür olarak PK ve Karydakis flap uygulanan hastaların kayıtları prospektif veri tabanında retrospektif olarak incelendi. İstatistiksel çalışma için ki-kare ve t test kullanıldı. Bulgular: Çalışma süresince 130 hasta ameliyat edilmiş olup 62’sine (%47.7) PK, 68’ine (%52.3) Karydakis flap uygulanmıştır. PK sonrası 4 (%6.5) hastada enfeksiyon, 14 (%22.6) hastada yara yeri açılması görülmüş olup bu oranlar Karydakis grubunda sırası ile %3 ve 0 idi (p 0.05). Bir yıl sonunda nüks oranları PK ve karydakis flep için sırası ile %16.1 ve %2.9 idi (p<0.05). Sonuç: Sakrokoksigeal pilonidal sinüs hastalığının cerrahi tedavisinde Karydakis flap prosedürü daha düşük komplikasyon ve nüks oranları ile PK ameliyatına göre daha etkili bir yöntemdir.

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Cite This Article

TOYDEMİR, T., PEŞLUK, O., DİLER, E. E., TURHAN, A. N. (2012). Comparison of the clinical outcomes of Karydakis flap versus primary closure procedures in the surgical treatment of sacrococcygeal pilonidal sinus disease. Bakırköy Tıp Dergisi, Cilt: 8 - Sayı: 2, 78–81. https://ajindex.com/articles/129376

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