Destek Sabahattin, Bektaşoğlu Hüseyin Kazım, Kunduz Enver, Akyüz Merve Nil
Department of General Surgery, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.
Department of Internship, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.
Turk J Surg. 2020 Mar 18;36(1):59-64. doi: 10.5578/turkjsurg.4598. eCollection 2020 Mar.
Pilonidal sinus disease (PSD), most commonly seen in young men, is a chronic disease resulting from the pilosebaceous in the sacrococcygeal region. There is still no standardization in surgical treatment. In this study, the effectiveness, follow up outcomes and quality of life level were compared between Karydakis flap (KF) and Limberg flap (LF) operations.
Among the patients who had undergone PSD surgery in our clinic between 2015 and 2016, those who could be reached and who received KF (n= 53) and LF (n= 51) operations were included into the study. Clinical data of these patients were retrospectively evaluated. Postoperative satisfaction levels of the patients were determined with Cardiff wound healing survey questions and visual analog scale.
Mean operational time was 54 (44-75) minutes in the LF group and 45 (35-60) minutes in the KF group, and it was statistically significant (p= 0.001). Mean time to return to work was 14.3 (9-28) days in the LF group and 17.6 (10-30) days in the CF group and was statistically significant (p= 0.001). The rates of complications and recurrence were lower in the LF group although the difference was not statistically significant between the groups (p> 0.05). Mean psychosocial assessment score was 70.3 (57.5-88.7) in the KF group and 73.4 (53.5-87.5) in the LF group and the difference was statistically significant (p= 0.001).
LF was a more reliable and preferable method compared to KF because of earlier return-to-work, lower rate of recurrence at long term follow up, and higher psychosocial satisfaction.
藏毛窦疾病（PSD）最常见于年轻男性，是一种由骶尾部皮脂腺引起的慢性疾病。手术治疗仍未标准化。在本研究中，比较了卡里达基斯皮瓣（KF）和林贝格皮瓣（LF）手术的有效性、随访结果和生活质量水平。
在2015年至2016年期间在我们诊所接受PSD手术的患者中，纳入了那些能够联系到且接受KF（n = 53）和LF（n = 51）手术的患者。对这些患者的临床资料进行回顾性评估。通过加的夫伤口愈合调查问卷和视觉模拟量表确定患者的术后满意度水平。
LF组的平均手术时间为54（44 - 75）分钟，KF组为45（35 - 60）分钟，差异有统计学意义（p = 0.001）。LF组的平均重返工作时间为14.3（9 - 28）天，CF组为17.6（10 - 30）天，差异有统计学意义（p = 0.001）。LF组的并发症和复发率较低，尽管两组之间的差异无统计学意义（p>0.05）。KF组的平均心理社会评估得分为70.3（57.5 - 88.7），LF组为73.4（53.5 - 87.5），差异有统计学意义（p = 0.001）。
与KF相比，LF是一种更可靠、更可取的方法，因为其重返工作时间更早，长期随访复发率更低，心理社会满意度更高。
