In this study, we aim to compare the Karydakis flap and Burow's Triangle Advancement Flap
      techniques applied in the surgical treatment of pilonidal sinus in terms of complications,
      time to return to normal activity, and recurrence.

Karydakis Flap Versus Burow's Triangle Advancement Flap in the Surgery of Sacrococcygeal Pilonidal Sinus Disease

Pilonidal Sinus

Sacrococcygeal Pilonidal Disease

Pilonidal sinus disease (PSD) is a chronic and inflammatory disease that is often generated
      in the sacrococcygeal region. It is commonly observed in puberty and young adult period and
      usually affects men. The incidence of pilonidal sinus disease is 26:100,000 and rising
      globally.

      PSD risk factors contain young age, obesity, male gender, Mediterranean ethnicity, deep natal
      cleft, hairiness, and poor hygiene. It has been shown that PSD incidence increases in
      parallel with body weight. The precise etiology of pilonidal sinus disease is unclear. Many
      conservative and surgical methods have been described in treating pilonidal sinus disease.
      After the sinus area is excised, excision with laying open (secondary healing), excision with
      primary closure, marsupialization, and various flap techniques can be applied in surgical
      treatment. The primary principle in treatment is to ensure that the patient returns to normal
      life as soon as possible and eliminate recurrences. Although the best surgical technique in
      treating pilonidal sinus is controversial, the ideal operation should be cost-effective,
      simple to perform, short hospital stay, and have a low recurrence and complication rates.
      There is no definite consensus on an ideal technique yet.

      In this study, we aim to compare the Karydakis flap and Burow's Triangle Advancement Flap
      techniques applied in the surgical treatment of pilonidal sinus in our clinic in terms of
      complications (wound dehiscence, seroma, hematoma, surgical site infection), time to return
      to normal activity, and recurrence.

Karydakis Flap Procedure

Burow's Triangle Advancement Flap Procedure

Karydakis Flap Procedure Versus Burow's Triangle Advancement Flap Procedure in the Surgical Treatment of Sacrococcygeal Pilonidal Sinus Disease

Postoperative pain after surgery ( measured by the visual analog score with 1 being minimum score and 10 being maximum score)

Number of weeks of complete duration epithelialization of the wound

Number of complications; related to the surgery, Type (wound dehiscence, seroma, hematoma, surgical site infection)

The number of weeks it passes the patient to return to normal activity.

Number of patients with recurrence pilonidal disease

Vertical eccentric elliptical incision down to the post-sacral fascia, complete removal of unhealthy tissue, and normal tissue around the cyst and sinus tracts. Mobilization of the medial wound edge and advancement of the skin. Flap along the midline to the post-sacral fascia and suturing its margin to the lateral wound margin.

The flap is incised along the base of the wedge-shaped defect, and a small Burow's triangle is excised on the opposite side. The skin is mobilized and shifted in the direction of the arrow to close the defect. Excising the small Burow's triangle eliminates a dog ear at the base of the flap.

Karydakis Flap Versus Burow's Triangle Advancement Flap in the Surgery of Sacrococcygeal Pilonidal Sinus Disease

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status