To evaluate the outcome of sacrococcygeal pilonidal sinus excision using karydakis technique

ABSTRACT

Objective: To evaluate the outcome of sacrococcygeal pilonidal sinus excision using karydakis technique. Study Design: Prospective case series study. Place and Duration of Study This study was carried out in the Department of General Surgery Unit 111, Ward 26, Jinnah Post graduate Medical Centre, Karachi form March 2005 to Feb 201 2. Materials and Methods: The study included 85 consecutive patients who underwent pilonidal sinus excision by karydakis technique fulfilling the inclusion criteria. We excluded the cases of pilonidal abscess and the cases which came with acute infections. Patients under 12 years were also excluded. A prospective method of data collection was utilizes by filling in the proforma designed for the study. A complete record of the procedure, follow up was done initially on weekly basis for one month and then fortnightly for 6 months and subsequently monthly for 30 months. Results: Total of 85 patents were included in our study in which 68 [80%] were male and 17 [20%] were female. The mean age of the group was 30.56 years. All patients were followed postoperatively for 30 months. Mean hospital stay was 2.5 days. Majority 63[74.1%] of the patients underwent smoothly without major complication. In all 85 patients wound closed with prolene 210 interrupted sutures. In 9[10.6%] patients developed minor wound infection while 4[4.7%] patients develop wound dehiscence and 3[3.52%] patients develop recurrence. In all 85 patients prophylactic antibiotics amoxicillin + clavulanic acid 1.2gm was used. In infected patients accounting to a total of 13[15.3%], both major and minor infections were included and appropriate antibiotic was used as indicated in the culture and sensitivity report. Conclusion: Karydakis technique is superior to midline excision surgery. It is associated with significantly shorter complication rate, shorter hospital length of duration, rapid healing, cost effective, good cosmetic satisfaction, a high patient satisfaction rate and low rate of recurrence