Gastrointestinal Surgery Unit, General Surgery Department, Tanta University Hospital, Tanta, Egypt.
World J Surg. 2018 Jun;42(6):1721-1726. doi: 10.1007/s00268-017-4406-8.
Pilonidal sinus is a common chronic disease affecting young adults. Many surgical procedures have been developed for its treatment, but an optimal one has still not been achieved. This study presents a modification to the Karydakis operation.
A total of 265 patients with chronic pilonidal sinus between May 2008 and May 2015 were included in this study and submitted to fascio-adipo-cutaneous lateral advancement flap as 1-day case surgery. Any Septic complication was treated firstly. Follow-up examinations were conducted during the first three postoperative months at the outpatient clinic at regular intervals and thereafter by phone calls or direct examination to check for recurrences.
Males constituted 93.6% with a mean age of 21.6 ± 7.7 year. The median disease duration was 15 months. Twenty-eight patients had recurrent disease. The mean operative time was 41.4 ± 12.7 min. The mean time out of work was 11.6 ± 4.6 days. Complications occurred in 19 patients (7.1%) in the form of seroma in six patients (2.2%), superficial wound infection occurred in nine patients (3.3%), cuticular wound disruption occurred in four patients (1.5%). All patients completed 3-months follow-up, but 48 patients were lost at variable intervals with the remaining 217 patients completed follow-up throughout the period of the study with a median follow-up of 43 months. No reported recurrence and 96.7% of the patients were satisfied about their wound.
This modification is simple with low complication rate, no recurrence, and excellent patient satisfaction.
藏毛窦是一种常见的影响年轻人的慢性疾病。已经开发了许多手术方法来治疗它，但仍未达到最佳效果。本研究介绍了对 Karydakis 手术的一种改良。
本研究共纳入 2008 年 5 月至 2015 年 5 月期间的 265 例慢性藏毛窦患者，作为 1 天病例手术接受筋膜脂肪皮侧推进皮瓣。首先治疗任何感染性并发症。在术后前三个月的门诊定期进行随访检查，此后通过电话或直接检查以检查复发情况。
男性占 93.6%，平均年龄为 21.6 ± 7.7 岁。疾病平均持续时间为 15 个月。28 例患者有复发疾病。平均手术时间为 41.4 ± 12.7 分钟。平均误工时间为 11.6 ± 4.6 天。19 例患者（7.1%）发生并发症，其中 6 例（2.2%）出现血清肿，9 例（3.3%）出现浅表伤口感染，4 例（1.5%）出现表皮伤口破裂。所有患者均完成了 3 个月的随访，但有 48 例患者在不同时间丢失，其余 217 例患者在整个研究期间完成了随访，中位随访时间为 43 个月。无复发报告，96.7%的患者对伤口满意。
这种改良方法简单，并发症发生率低，无复发，患者满意度高。
