COMPARISON BETWEEN PRIMARY CLOSURE WITH KARYDAKIS’S TECHNIQUE VERSUS OPEN PROCEDURE IN TREATMENT OF PILONIDAL SINUS IN TERMS OF FREQUENCY OF POSTOPERATIVE WOUND INFECTION

Abstract

Objective: The purpose of this study is to compare between primary closure with Karydakis’s technique versus open procedure in treatment of pilonidal sinus in terms of frequency of postoperative wound infection.
Study Design: Randomized Clinical Trials (RCT).
Place and Duration of Study: This study was carried out at Department of Surgery, CMH, Kharian over a period of 2 years from Sept 2010 to Oct 2012.
Patients and Methods: Sixty patients were selected out of which 30 patients underwent open excision and secondary healing and 30 patients underwent Karydakis procedure. Post operatively these patients were observed for wound infection on date of discharge and weeks 1, 2 and 3. Results of both groups were compared for wound infection by applying chi-square test.
Results: There was no statistically significant difference in the frequency of infection between the two groups when calculated during the complete course of study.
Conclusion: Primary closure with Karydakis’s technique and open procedure are satisfactory surgical procedures for pilonidal sinus disease in terms of post-operative wound infection.