SURGICAL OUTCOME OF KARYDAKIS TECHNIQUE IN SACRO-COCCYGEAL PILONIDAL SINUS

Abdul Majeed, Noor Sardar, Sidra Manzoor, Rumman Khan

Abstract


Background: Pilonidal sinus is caused by repeated traumatic penetrations of the skin by hair with consequent infolding and sinus formation. The objective of the study was to determine the surgical outcome and post-operative satisfaction level of patients undergoing Karydakis technique in sacro-coccygeal pilonidal sinus.
Material & Methods: This descriptive cross-sectional study was conducted at the Department of General and Laparoscopic Surgery, Hayatabad Medical Complex, Peshawar, Pakistan from January 2013 to December 2014. Sample size was 38. All male sacro-coccygeal pilonidal sinus patients aging 16 to 65 years were included. Demographic variable was age in years. Research variables were duration of symptoms, follow up, length of stay, return to work, healing time, sacro-coccygeal pain, purulent or mucopurulent discharge, fever, swelling, tenderness and presence of frank abscess, seroma formation and over all satisfaction. Mean ±SD were calculated for continuous variables while frequencies and percentages were calculated for categorical variables. Data was analysed using IBM SPSS Statistics version 22.0 descriptively.
Results: The mean age of the sample of 38 patients was 31.13 ±5.8 years; ranging from 16 to 65 years. Mean symptoms duration was 11.9 ±4.8 days. The mean follow-up duration was 9.87 ±1.89 months. The mean length of stay was 3.42±1.24 days. The mean return to work time was 8.79 ±2.1 days while mean healing time was 12.89 ±1.91 days. The presenting complaints were sacro-coccygeal pain in 34(89.5%), purulent or mucopurulent discharge in 30(78.9%), fever 22(57.9%), swelling 15(39.5%), tenderness 10(26.3%), presence of frank abscess 10(26.3%), seroma formation 3(7.9%) and over all satisfaction was (63%).
Conclusion: Over all satisfaction rate was high in Karydakis technique in sacro-coccygeal pilonidal sinus patients.

Keywords


Pilonidal sinus; Karydakis technique; Sacro-coccygeal; Postoperative satisfaction.

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References


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