Limberg and Karydakis Flap in Recurrent Pilonidal Sinus Disease

Effectiveness of Limberg and Karydakis Flap in Recurrent Pilonidal Sinus Disease

It was investigated whether there is a factor that can aid determination of the preferred technique by comparing the early Limberg flap and Karydakis procedure techniques for the treatment of recurrent pilonidal sinus.

Sacrococcygeal pilonidal sinus is common in young men and may recur overtime after surgery.

It was investigated whether there is a factor that can aid determination of the preferred technique by comparing the early Limberg flap and Karydakis procedure techniques for the treatment of recurrent pilonidal sinus.

Inclusion Criteria:

1. Patients willing to give written informed consent
2. There should be recurrent pilonidal sinus

2. Recurrent adult patients (over 18 years of age) undergoing surgery for pilonidal sinus

3. International normalizing ratio (INR) less than 1.5

4. Prothrombin time (PT) should be less than 15 s

5. Partial thromboplastin (PTT) time should be near normal

6. Platelet count should be greater than 50,000 per mm3 to limit the risk of bleeding

7. There must be no infection at the time of surgery

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Exclusion Criteria:

1. Patients not willing to give informed consent

2. Age less than 16 years

3. Patient presenting with conditions mimicking pilonidal sinus

4. Diabetes mellitus, renal failure, immunosuppression e.g. were excluded

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