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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Limberg flap | Active Comparator | Patients were divided into two groups, group 1 were treated with Limberg flap technique |
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| Karydakis procedure | Active Comparator | Patients were divided into two groups, group 2 were treated with Karydakis procedure |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Limberg flap | Procedure | Patients were divided into two groups, group 1 were treated with Limberg flap technique (n= 37) . Two groups were compared with a statistical in terms of fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, completes healing time, painless seating and patient satisfactions |
| Measure | Description | Time Frame |
|---|---|---|
| Superiority of Limberg Flap in Recurrent Pilonidal Sinus Disease | Superiority as measured by rates of recurrence and complication, length of hospital stay, return work, VAS skore, patient satisfaction and complet healing duration. | January 2009 to December 2013, Patients were invited for control 1 month, 3 months, 6 months, 1 year intervals |
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Inclusion Criteria:
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:
Patients not willing to give informed consent
Age less than 16 years
Patient presenting with conditions mimicking pilonidal sinus
Diabetes mellitus, renal failure, immunosuppression e.g. were excluded
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26039952 | Derived | Bali I, Aziret M, Sozen S, Emir S, Erdem H, Cetinkunar S, Irkorucu O. Effectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease. Clinics (Sao Paulo). 2015 May;70(5):350-5. doi: 10.6061/clinics/2015(05)08. Epub 2015 May 1. |
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| ID | Term |
|---|---|
| D010864 | Pilonidal Sinus |
| ID | Term |
|---|---|
| D003560 | Cysts |
| D009369 | Neoplasms |
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| Karydakis procedure | Procedure | Patients were divided into two groups, group 2 were treated with Karydakis flap (n= 34). Two groups were compared with a statistical in terms of fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, completes healing time, painless seating and patient satisfactions |
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