Alaa el sewefy
minia university hospital Egypt
Title: Karydakis flap with tie-over interrupted compression sutures without drain in treatment of Sacrococcygeal pilonidal sinus disease
Biography
Biography: Alaa el sewefy
Abstract
consultant of general surgery & laparoendoscopy at minia university hospital
Background: sacroccygeal pilonidal sinus disease (SPSD) disease is a worldwide disease, affecting young adult, mainly male, with a tendency for recurrence. Various modalities have been used for treating this disease. The asymmetric flap procedures associated with lowest recurrence rate with short hospital stay and early return to work. One of most commonly used asymmetric flap is karydakis procedure.
Aim of the work: was to evaluate modification of karydakis procedure as regard the hospital stay, return to work and recurrence rate.
Patients and method: between January 2011 and December 2014, 32 patients with (SPSD) operated by karykadis flap. In all patients no drains were used and instead tie-over interrupted compression sutures were used to close the dead space, preventing seroma formation.
Results: 30 patients were males (93.8%) and 2 were females (6.2%). The mean age was 25.2 ± 5.6 years (ranged from 19-45 years). The mean operative time was 72.7 ± 14.5 min (range from 50-110 min). All patients discharged on the same day of surgery. No patient developed serous collection in the wound. One patient (3.1%) developed superficial wound infection; the mean time for return to work was 11.8 ±2.2 (range from 11-21). the median period of follow-up was 28 months with no recurrences were noted in any of the cases.
Conclusion: karykadis flap with tie-over compression interrupted sutures without drain is save procedure with least complications, short hospital stay and early return to work