Abstract: Introduction: Pilonidal sinus disease (PSD) is a chronic inflammation and infection of the sacrococcygeal area with swelling, discomfort and seropurulent discharge among the ain symptoms. Studies show the disease to be an acquired condition. Among the treatments offered are excision and secondary intention healing, marsupialization, excision and primary closure, and different kinds of excision followed by flap repair, commonly being Karydakis flap and Limberg flap. The surgical outcomes of both the types of flaps is compared in this study.
Aim and Objectives: To assess the surgical outcome between Karydakis flap and Limberg flap in pilonidal sinus.
Materials and Methods: It was an observational study conducted at department of surgery, in patients with pilonidal sinus between the age of 15 to 65 yrs. A total of 30 patients were included after obtaining the informed consent, with group A as 15 patients undergoing Karydakis flap procedure and group B as 15 patients undergoing Limberg flap procedure.
Results: The mean age of patients was found to be 33.10±11.57yrs of age, male preponderance (80.0%) was seen. Male to female ratio was 4:1. Mean operative time was 45.1±3.0 and 57.7±3.7mins for Karydakis flap and Limberg flap method respectively. Significant lower blood loss was seen among the Karydakis flap method. Lower duration of hospital stay was seen among the Karydakis flap group (4.9±1.2days), Limberg flap group (5.2±0.7days). Overall, 6 patients presented with recurrence who underwent the Karydakis flap method.
Conclusion: Comparative results seen between both Karydakis flap and Limberg flap however, Karydakis flap procedure showed shorter operative time, lower blood loss. Patient’s with Limberg’s flap had lesser early post operative complications, early pain-free toileting and nil recurrence and was recommended to other patients. Hence, Limberg flap is still a better option to the patients as compared to Karydakis flap procedure.
