RESUMEN
Objective: To compare Karydakis technique with Limberg flap procedure for sacrococcygeal pilonidal sinus in terms of mean period of hospital stay and return to normal activity [mean number of days]
Study Design: Randomized controlled trial
Place and Duration of Study: Surgery department, Military Hospital /Combined Military Hospital Rawalpindi, Frontier Corps [FC] Hospital Quetta from July 2010 to July 2014
Material and Methods: A total of 150 patients [75 patients in each group] were recruited in this study by consecutive non-probability sampling. In group-A Karydakis technique was used while in group-B Limberg flap procedure was done. Data were analyzed using SPSS version 16 and by applying' t' test
Results: Comparison of mean period of hospital stay shows mean hospital stay 2.93 +/- 0.66 days in group-A and 3.97 +/- 0.71 days in group-B [p=0.001]. Similarly mean work loss was 13.13 +/- 1.15 days in group-A and 15.53 +/- 1.22 days in group-B. Significant difference was noted between two groups [p=0.001]
Conclusion: Karydakis technique, in treatment of pilonidal sinus disease is better in terms of short duration of hospital stay and less work loss. Karydakis procedure should be the preferred method in treatment of sacrococcygeal pilonidal sinus
RESUMEN
Objective: To compare fistulectomy with primary closure of the wound and fistulectomy alone in the treatment of low anal fistula in terms of healing time
Study Design: Randomized control trial
Place and Duration of Study: Department of General Surgery Combined Military Hospital [CMH] Rawalpindi, from Nov 2006 to May 2007
Material and Methods: Total 60 patients of low anal fistula were enrolled in this study after informed consent and ethical approval. Patients were divided in two groups [A and B] each containing 30 patients. Patient of group A underwent fistulectomy alone whereas patients of group B underwent fistulectomy with primary closure of wound. All the patients were followed two weekly for 06 weeks. On each visit, healing was assessed by naked eye examination of epithelialization and noted on a Proforma. SPSS 17 was used to analyze the results. A p-value of <0.005 was considered statistically significant
Results: At 02 weeks after surgery, none of the patient in group A and 6.6% of group B patients showed wound healing, p-value was not significant i.e. 0.492. At 04 weeks after surgery, 23.3% of group A and 86.6% of group B patients showed wound healing p-value <0.001. At 06 weeks after surgery, 93.3% of group A and 100% of group B patients showed wound healing, p-value was not significant i.e. 0.492. Healing of wound was found more rapid in group B patients who underwent fistulectomy with primary closure of wound
Conclusion: Fistulectomy with primary repair was a better treatment as compared to fistulectomy alone in terms of healing time of wound