Forbes J Med. 2024; 5(1): 65-70 | DOI: 10.4274/forbes.galenos.2024.19970

Effectiveness of the Limberg and Karydakis Procedures in Complicated Pilonidal Sinus Disease

Yasin GÜNEÞ¹, Emre TEKE^2
1University of Health Sciences, Fatih Sultan Mehmet Training And Research Hospital, Department of General Surgery, Istanbul
²Þýrnak State Hospital, Department of General Surgery, Þýrnak, Türkiye

Objective: There is no accepted gold standard method for treating complicated pilonidal sinus disease (CPSD). The objective of this study was to examine the effect of the Limberg procedure (LP) and the Karydakis procedure (KP) for treating CPSD.
Methods: A total of 44 patients who underwent surgery for CPSD between July 2020 and July 2023 were included. These patients were divided into two groups: the LP and KP groups. The patients were followed up for an average of 18.9 months.
Results: There were no differences in preoperative characteristics between the two groups (p>0.05). The complications were higher in the KP group and approached statistical significance (p=0.052). This situation was attributed to a 45.5% incidence of wound dehiscence in the KP group compared with 13.6% in the LP group (p=0.021). In the LP group, the median time to return to work was 20.5 days, whereas the healing time was 30 days. In the KP group, the median time to return to work was extended to 30 days, with a healing time of 56 days. There was no difference in recurrence between the two groups (p=0.607).
Conclusion: LP is recommended for treating CPSD because of its faster return to work and healing time.

Keywords: Complicated pilonidal sinus disease, Limberg procedure, Karydakis procedure

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Komplike Pilonidal Sinüs Hastalýðýnda Limberg ve Karydakis Prosedürlerinin Etkinliði

Yasin GÜNEÞ¹, Emre TEKE^2
1University of Health Sciences Türkiye, Fatih Sultan Mehmet Training and Research Hospital, Clinic of General Surgery, Ýstanbul, Türkiye
²Þýrnak Devlet Hastanesi, Genel Cerrahi Kliniði, Þýrnak

Amaç: Komplike pilonidal sinüs hastalýðýnýn (KPSH) tedavisinde kabul edilmiþ bir altýn standart yöntem yoktur. Bu çalýþmanýn amacý Limberg prosedürünün (LP) ve Karydakis prosedürünün (KP) KPSH tedavisindeki etkisini incelemektir. Yöntem: Temmuz 2020 ile Temmuz 2023 tarihleri arasýnda KPSH nedeniyle ameliyat edilen toplam 44 hasta çalýþmaya dahil edildi. Bu hastalar iki gruba ayrýldý: LP grubu ve KP grubu. Hastalar ortalama 18,9 ay takip edildi.
Bulgular: Ýki grup arasýnda preoepratif özellikler açýsýndan fark yoktu (p>0,05). Komplikasyonlar KP grubunda daha yüksekti ve istatistiksel anlamlýlýða yaklaþtý (p=0,052). Bu durum LP grubunda %13,6 iken KP grubunda %45,5 oranýnda yara açýlmasý görülmesine baðlandý (p=0,021). LP grubunda medyan iþe dönüþ süresi 20,5 gün, iyileþme süresi ise 30 gündü. KP grubunda medyan iþe dönüþ süresi 30 güne, iyileþme süresi ise 56 güne çýktý. Ýki grup arasýnda nüks açýsýndan fark yoktu (p=0,607).
Sonuç: LP, daha hýzlý iþe dönüþ ve iyileþme süresi nedeniyle KPSH tedavisinde önerilir.

Anahtar Kelimeler: Komplike pilonidal sinü, s hastalýðý, Limberg prosedürü, Karydakis prosedürü

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