The American Journal of Surgery
Volume 200, Issue 3 , Pages 318-327 , September 2010

Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease

  • Mehmet Fatih Can, M.D.

      Affiliations

    • Department of Surgery, Ardahan Army Community Hospital, Ardahan, Turkey
    • Department of Surgery, Gulhane School of Medicine, Ankara, Turkey
    • Corresponding Author InformationCorresponding author. Tel.: 90-505-456-8779; fax: 90-312-256-4756
    • ,
  • Mert Mahsuni Sevinc, M.D.

      Affiliations

    • Department of Surgery, Ardahan Army Community Hospital, Ardahan, Turkey
    • ,
  • Oguz Hancerliogullari, M.D.

      Affiliations

    • Department of Surgery, Izmir Army Community Hospital, Izmir, Turkey
    • ,
  • Mehmet Yilmaz, M.D.

      Affiliations

    • Department of Surgery, Ardahan Army Community Hospital, Ardahan, Turkey
    • ,
  • Gokhan Yagci, M.D.

      Affiliations

    • Department of Surgery, Gulhane School of Medicine, Ankara, Turkey

Received 8 April 2009 ,Revised 31 August 2009

References 

  1. de Jaestecker J, Mann BD, Castellanos AE, et al. Pilonidal disease, 2006. http://www.emedicine.com/med/byname/pilonidal-disease.htmAccessed October 9, 2007
  2. McGuinness JG, Winter DC, O'Connell PR. Vacuum-assisted closure of a complex pilonidal sinus. Dis Colon Rectum. 2003;46:274–276
  3. Akinci OF, Bozer M, Uzunkoy A, et al. Incidence and aetiological factors in pilonidal sinus among Turkish soldiers. Eur J Surg. 1999;165:339–342
  4. Armstrong JH, Barcia PJ. Pilonidal sinus disease (The conservative approach). Arch Surg. 1994;129:914–917
  5. Hosseini SV, Bananzadeh AM, Rivaz M, et al. The comparison between drainage, delayed excision and primary closure with excision and secondary healing in management of pilonidal abscess. Int J Surg. 2006;4:228–231
  6. Aldemir M, Kara IH, Erten G, et al. Effectiveness of collagenase in the treatment of sacrococcygeal pilonidal sinus disease. Surg Today. 2003;33:106–109
  7. Rabie ME, Al Refeidi AA, Al Haizaee A, et al. Sacrococcygeal pilonidal disease: sinotomy versus excisional surgery, a retrospective study. Aust N Z J Surg. 2007;77:177–180
  8. Kaymakcioglu N, Yagci G, Simsek A, et al. Treatment of pilonidal sinus by phenol application and factors affecting the recurrence. Tech Coloproctol. 2005;9:21–24
  9. Chintapatla S, Safarani N, Kumar S, et al. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol. 2003;7:3–8
  10. Nordon IM, Senapati A, Cripps NP. A prospective randomized controlled trial of simple Bascom's technique versus Bascom's cleft closure for the treatment of chronic pilonidal disease. Am J Surg. 2009;197:189–192
  11. Füzün M, Bakir H, Soylu M, et al. Which technique for treatment of pilonidal sinus—open or closed?. Dis Colon Rectum. 1994;37:1148–1150
  12. Topgül K, Ozdemir E, Kiliç K, et al. Long-term results of Limberg flap procedure for treatment of pilonidal sinus: a report of 200 cases. Dis Colon Rectum. 2003;46:1545–1548
  13. Mentes BB, Leventoglu S, Cihan A, et al. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus. Surg Today. 2004;34:419–423
  14. Yigit T, Yigitler C, Gulec B, et al. Do we need to use subcutaneous suture for pilonidal sinus treated with excision and simple primary closure?. Acta Chir Belg. 2005;105:635–638
  15. Tocchi A, Mazzoni G, Bononi M, et al. Outcome of chronic pilonidal disease treatment after ambulatory plain midline excision and primary suture. Am J Surg. 2008;196:28–33
  16. McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2007;17:CD006213
  17. Petersen S, Koch R, Stelzner S, et al. Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approaches. Dis Colon Rectum. 2002;45:1458–1467
  18. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg. 1992;62:385–389
  19. Cihan A, Ucan BH, Comert M, et al. Superiority of asymmetric modified Limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum. 2006;49:244–249
  20. Can MF, Sevinc MM, Yilmaz M. Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: results of 200 military service members. Surg Today. 2009;39:580–586
  21. Akinci OF, Coskun A, Uzunköy A. Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure. Dis Colon Rectum. 2000;43:701–706
  22. Gurer A, Gomceli I, Ozdogan M, et al. Is routine cavity drainage necessary in Karydakis flap operation? (A prospective, randomized trial). Dis Colon Rectum. 2005;48:1797–1799
  23. Urhan MK, Kücükel F, Topgul K, et al. Rhomboid excision and Limberg flap for managing pilonidal sinus: results of 102 cases. Dis Colon Rectum. 2002;45:656–659
  24. Sakr M, Habib M, Shaheed AA. Assessment of Karydakis technique as compared with midline closure for the management of chronic pilonidal sinus. J Pelv Med Surg. 2006;12:201–206
  25. Sakr M, El-Hammadi H, Moussa M, et al. The effect of obesity on the results of Karydakis technique for the management of chronic pilonidal sinus. Int J Colorectal Dis. 2003;18:36–39
  26. Cihan A, Mentes BB, Tatlicioglu E, et al. Modified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery. Aust N Z J Surg. 2004;74:238–242
  27. Mahdy T. Surgical treatment of the pilonidal disease: primary closure or flap reconstruction after excision. Dis Colon Rectum. 2008;51:1816–1822
  28. Cubukçu A, Gönüllü NN, Paksoy M, et al. The role of obesity on the recurrence of pilonidal sinus disease in patients, who were treated by excision and Limberg flap transposition. Int J Colorectal Dis. 2000;15:173–175
  29. Daphan C, Tekelioglu MH, Sayilgan C. Limberg flap repair for pilonidal sinus disease. Dis Colon Rectum. 2004;47:233–237
  30. Ertan T, Koc M, Gocmen E, et al. Does technique alter quality of life after pilonidal sinus surgery?. Am J Surg. 2005;190:388–392

PII: S0002-9610(09)00792-2

doi: 10.1016/j.amjsurg.2009.08.042

The American Journal of Surgery
Volume 200, Issue 3 , Pages 318-327 , September 2010

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