双侧平行椭圆皮瓣与 Karydakis 皮瓣治疗原发性藏毛窦病的随机对照试验。

Bilaterally parallel elliptic flap versus Karydakis flap in primary pilonidal sinus disease: a randomized controlled trial.

机构信息

Department of General Surgery, Istanbul Atlas University, Istanbul, Turkey.

Department of General Surgery, Yuksekova State Hospital, Hakkari, Turkey.

出版信息

Int J Colorectal Dis. 2023 Jun 23;38(1):176. doi: 10.1007/s00384-023-04475-w.

DOI:10.1007/s00384-023-04475-w

PMID:37351640

Abstract

PURPOSE

Pilonidal sinus disease is a disease that especially affects the young population and causes loss of workforce. Although many treatment methods have been defined, there is still no "gold standard" treatment method. Our objective was to evaluate the postoperative results of bilateral parallel elliptical flap and Karydakis flap in the surgical treatment of pilonidal sinus.

METHODS

This study was conducted at the Colorectal Surgery Department of Ankara Numune Training and Research Hospital. It designed a prospective randomized controlled study. Patients that underwent surgery due to pilonidal sinus were included in the study. The patients were randomly divided into two groups. Surgery was performed with the bilateral parallel elliptical flap (BPEF) technique in one group and the Karydakis flap (KF) technique in the other group. Postoperative pain, length of hospital stay, wound complications, time taken to return to work/school, and recurrence incidence were evaluated.

RESULTS

A total of 102 patients were included in the study, 49 in the BPEF group and 53 in the KF group. The length of hospital stay was similar in the BPEF and KF groups (1.41 ± 0.81 and 1.45 ± 0.84, respectively; p > 0.05). There was less postoperative pain in the BPEF group (2.47 ± 1.02 vs 3.57 ± 1.10, p < 0.05). Wound complications were observed in nine patients in the BPEF group (18.2%) and 14 patients in the KF group (26.2%). The time to return to work/school was shorter in the BPEF group (21.06 ± 6.37 vs 27.04 ± 7.45; p < 0.05). Recurrence developed in two (4%) patients in the BPEF group and three (5.6%) patients in the KF group (p > 0.05).

CONCLUSIONS

The patients who underwent surgery with the bilateral parallel elliptical flap technique had less pain and a shorter time to return to work/school after the operation. The postoperative complication and recurrence rates were similar in both groups.

TRIAL REGISTRATION

clinicaltrials.gov identifier: NCT05851690. (5/11/2023) (retrospectively registered).

摘要

目的

藏毛窦疾病是一种特别影响年轻人群体并导致劳动力丧失的疾病。尽管已经定义了许多治疗方法，但仍没有“金标准”的治疗方法。我们的目的是评估双侧平行椭圆形皮瓣和 Karydakis 皮瓣在藏毛窦手术治疗中的术后结果。

方法

本研究在安卡拉努姆恩特培训和研究医院的肛肠外科进行。它设计了一项前瞻性随机对照研究。因藏毛窦而接受手术的患者被纳入研究。患者被随机分为两组。一组采用双侧平行椭圆形皮瓣（BPEF）技术进行手术，另一组采用 Karydakis 皮瓣（KF）技术进行手术。评估术后疼痛、住院时间、伤口并发症、恢复工作/上学的时间以及复发发生率。

结果

共有 102 名患者纳入研究，BPEF 组 49 例，KF 组 53 例。BPEF 组和 KF 组的住院时间相似（分别为 1.41±0.81 和 1.45±0.84；p>0.05）。BPEF 组术后疼痛较轻（2.47±1.02 对 3.57±1.10，p<0.05）。BPEF 组有 9 例（18.2%）和 KF 组有 14 例（26.2%）发生伤口并发症。BPEF 组恢复工作/上学的时间较短（21.06±6.37 对 27.04±7.45；p<0.05）。BPEF 组有 2 例（4%）和 KF 组有 3 例（5.6%）患者复发（p>0.05）。