COMPARISON OF KARYDAKIS TECHNIQUE WITH LIMBERG FLAP PROCEDURE FOR SACROCOCCYGEAL PILONIDAL SINUS DISEASE IN TERMS OF HOSPITAL STAY AND WORK LOSS

Procedure for Sacrococcygeal Pilonidal Sinus Disease

Abstract

Objective: To compare Karydakis technique with Limberg flap procedure for sacrococcygeal pilonidal sinus in terms of mean period of hospital stay and return to normal activity (mean number of days).
Study Design: Randomized controlled trial.
Place and Duration of Study: Surgery department, Military Hospital /Combined Military Hospital Rawalpindi, Frontier Corps (FC) Hospital Quetta from July 2010 to July 2014.
Material and Methods: A total of 150 patients (75 patients in each group) were recruited in this study by consecutive non-probability sampling. In group-A Karydakis technique was used while in group-B Limberg flap procedure was done. Data were analyzed using SPSS version 16 and by applying ҅t’ test.
Results: Comparison of mean period of hospital stay shows mean hospital stay 2.93 ± 0.66 days in group-A and 3.97 ± 0.71 days in group-B (p=0.001). Similarly mean work loss was 13.13 ± 1.15 days in group-A and 15.53 ± 1.22 days in group-B. Significant difference was noted between two groups (p=0.001).
Conclusion: Karydakis technique, in treatment of pilonidal sinus disease is better in terms of short duration of hospital stay and less work loss. Karydakis procedure should be the preferred method in treatment of sacrococcygeal pilonidal sinus.