Muhammad Saad Faisal, Sidra Dil Muhammad, Amjad Iqbal Burq.
Comparison of Short Term Outcome of Three Surgical Techniques for the Management of Sacrococcygeal Pilonidal Sinus Disease.
J Sharif Med Dent Coll Jan ;6(1):32-6.

Objective: To compare the short term outcome of three surgical techniques for the management of sacrococcygeal pilonidal sinus disease. Methodology: This cross-sectional comparative study including 75 patients with sacrococcygeal pilonidal sinus disease was conducted in the Department of Surgery, Sharif Medical City Hospital, Lahore. Patients were divided into three equal groups (25 patients in each group) who underwent Rhomboid flap (Group I), Karydakis flap (Group II) and Bascom's procedure (Group III) for pilonidal disease. Operative and postoperative outcomes of the three surgical procedures were recorded and compared by one-way ANOVA. Results: There were 71(94.7%) men and 4(5.3%) women with a mean age of 26.0723.94 years. The commonest clinical presentation of sacrococcygeal pilonidal disease was discharging sinus (96%). Mean operative time was 53.03-10.98,56.53+6.20 and 61.31-16.46 minutes in Rhomboid (Limberg) flap, Karydakis flap and Bascom's procedure, respectively. Earlier return to work was observed after Rhomboid flap surgery (14.91+3.03 days) than Karydakis flap and Bascom's procedure (18.53+4.92 and 17.36+4.73 days, respectively). There is a statistically significant difference in terms of operative time (p=0.0003), removal of wound drain (p=0.0001) and return to work (p=0.0002) in Rhomboid (Limberg) flap surgical technique as compared to Karydakis Flap technique and Bascom's procedure. Conclusion: Rhomboid (Limberg) Flap surgical technique was found superior to the Karydakis Flap technique and Bascom's procedure in terms of shorter operative time, earlier removal of wound drain and return to work. Keywords: Sacrococcygeal pilonidal disease. Karydakis flap. Rhomboid flap. Bascom's procedure.

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