ABSTRACT

The aim of this study is to compare the clinical outcomes of Karydakis flap versus primary closure (PC) which are two often applied surgical procedures in the treatment of sacrococcygeal pilonidal sinus disease.

The patients who underwent Karydakis flap and PK procedures with the diagnosis of sacrococcygeal pilonidal sinus disease between January 2007 and December 2010 were retrospectively analyzed in a prospectively collected database. Chi-square and t test was used for statistical studies.

130 patients were operated during the study period. PC was the procedure of the choice in 62 (47.7%) and Karydakis flap was performed in 68 (52.3%) patients. Following PC, 4 (6.5%) patients had infections, 14 (22.6%) patients had wound disruption. These complications were seen in 3% and 0, in Karydakis group, respectively (p<0.05). Hematoma was detected in 12 (9.2) patients and distribution between the groups was similar (p>0.05). At the end of a year, recurrence rates were 16.1% and 2.9% for PC and Karydakis, respectively (p<0.05).

In the surgical treatment of pilonidal sinus disease, Karydakis flap procedure is a more effective method than PC with lower complication and recurrence rates.

Keywords: Pilonidal sinus disease, Karydakis flap, primary closure