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

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Wound Healing

Background:

• Pilonidal sinus disease significantly impacts the young population, leading to workforce loss.
• Current surgical treatments lack a definitive "gold standard" approach.
• This study addresses the need for optimized surgical interventions for pilonidal sinus disease.

Purpose of the Study:

• To compare the postoperative outcomes of the bilateral parallel elliptical flap (BPEF) and Karydakis flap (KF) techniques in pilonidal sinus surgery.
• To evaluate pain, hospital stay, wound complications, return to work, and recurrence rates for both surgical methods.
• To identify potential improvements in patient recovery and long-term success for pilonidal sinus treatment.

Main Methods:

• A prospective randomized controlled study involving 102 patients with pilonidal sinus.
• Patients were randomly assigned to either the bilateral parallel elliptical flap (BPEF) or Karydakis flap (KF) surgical technique.
• Key outcome measures included postoperative pain, hospital stay, wound complications, time to return to work/school, and recurrence incidence.

Main Results:

• The bilateral parallel elliptical flap (BPEF) group reported significantly less postoperative pain (p < 0.05).
• Patients in the BPEF group returned to work/school significantly faster than the Karydakis flap (KF) group (p < 0.05).
• Hospital stay duration, wound complication rates, and recurrence incidence were comparable between the BPEF and KF groups (p > 0.05).

Conclusions:

• The bilateral parallel elliptical flap (BPEF) technique offers advantages in reducing postoperative pain and accelerating patient return to daily activities.
• Both BPEF and KF techniques demonstrate similar efficacy regarding wound complications and long-term recurrence rates.
• BPEF may be a preferred surgical option for pilonidal sinus disease, balancing recovery speed and treatment effectiveness.