Excision and suture in the midline versus Karydakis flap surgery for pilonidal sinus: randomized clinical trial.

ABSTRACT:

Background

There are several surgical options for the management of pilonidal disease, including midline and off midline closure, but prospective studies are rare. The study hypothesis was that Karydakis flap surgery would result in shorter wound healing and fewer recurrences than excision of pilonidal sinus and suture in the midline.

Methods

A randomized clinical trial was conducted in two hospitals in Sweden between 2006 and 2015 to compare excision and suture in the midline with Karydakis flap surgery. Adult patients with a chronic pilonidal sinus disease were randomized 1:1 at the outpatient clinic without blinding. Power calculation based on recurrence of 2 per cent for Karydakis flap and 10 per cent for excision and primary closure in the midline required 400 patients

SUBMITTER: Hemmingsson O 

PROVIDER: S-EPMC8932511 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature