Pilonidal Disease Clinical Trial
Official title:
A Prospective Randomized Trial-comparing Excision and Limberg Flap Closure Versus Karydakis Flap Reconstruction for Treatment of Sacrococcygeal Pilonidal Disease
Comparison between limberg flap and Karydakis flap for treatment of pilonidal disease.
The authors prospectively studied patients with sacrococcygeal pilonidal disease (SPD) at
Mansoura University Hospital, Mansoura, Egypt, .Patients were randomly assigned to undergo
either Limberg rhomboid flap or Karydakis flap reconstruction . The follow-up period ranged
from 8 months to two years, with the mean follow-up period about 18 months. Surgical
findings, complications, recurrence rate and degree of patient satisfaction were compared.
This a randomized controlled study to evaluate both rhomboid excision and limberg flap
closure versus Karydakis flap for treatment of chronic pilonidal disease.
Karydakis flap reconstruction was performed in conformity with the original procedure
described by Karydakis. The technique consisted of a vertical eccentric elliptical incision
carried down to the post sacral fascia, complete removal of unhealthy tissue with the normal
tissue around the cyst and sinus tracts, mobilization of the medial wound edge by
undercutting the adipose tissue at a depth of 1 cm, the advancement of the flap across the
midline to the post sacral fascia and suturing of its edge to the lateral one.
Lamberg flap technique: the area to be excised was mapped on the skin in a rhomboid form .
The skin incision was deepened to the presacral fascia centrally and to the gluteal fascia
laterally. After removing the specimen, the Limberg fasciocutaneous flap was prepared by
extending the incision down to and through the right gluteus maximus fascia (Fig3a). The
size of the prepared flap was equal to that of the rhomboid area. Meticulous hemostasis was
accomplished by electrocauterization. The fasciocutaneous flap was transposed medially so
that the defect would be covered without any tension. Sutures were placed between gluteus
fascia of the flap and presacral fascia with 2/0 polyglactin to prevent dead space
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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