PP 40. Karydakis Flap Reconstruction Versus Cleft Lift Procedure in Pilonidal Disease

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H. Koray Sezer, G. Celikkol, I. Celikkol, M. Oztas

19:04 - 19:10h at Margrit Room

Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session

Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery

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Background
Pilonidal disease causes discomfort and distress to patients also it prolongs work-off period. Pilonidal sinus is a disease that does not have a standardized surgical treatment method. In this study, we compared the karydakis flap reconstruction (KFR) and Cleft Lift Procedure with excision of pit (CL).

Material and Methods
Prospectively collected records of eighty-two patients who underwent surgical treatment for Pilonidal disease from Jan 2009 to May 2011 were retrospectively assessed. Patients were divided into two groups, KFR (n =44) and CL (n=38) . Surgical findings, complications (wound infection, collection, minor dehiscence, dehiscence), length of hospital stay, time to return to normal activity, time to return to work, recurrence rates, and degree of satisfaction based on a questionnaire obtained via telephone interview were compared between the two groups.

Result
Length of hospital stay was found similar in the two groups. There was no significant difference in recurrence rate (KFR group %5,2 cleft group%8) and in terms of complications (KFR group %5, cleft group%9), (p>0.05). Time to return to normal activity and time to return to work were shorter in KFR group. Seventy-two percent of patients in KFR group and seventy-one percent in CL group were completely satisfied with the procedure.

Conclusion
Altough there was no significant difference in recurrence rate and in terms of complications between two groups, Karydakis flap reconstruction may be preferred in the surgical management of nonacute pilonidal disease because of less time to return to normal activity and time to return to work