Abstract
Objective: To compare outcome of modified Limberg flap versus Karydakis flap in treatment of Pilonidal Sinus in terms of operative
time, hospital stay, rate of infection and recurrence.
Study Design: Quasi experimental study.
Study Place and Duration: Department of General Surgery POF(Pakistan ordinance factory) Hospital Wah Cantt from 1st January 2006
till 31st December 2018.
Methodology: Patients presenting with pilonidal sinus to surgical OPD divided into two equal groups through non-probability
consecutive sampling. Group A underwent Limberg flap and group B Karydakis flap. Both groups were compared for operative time,
hospital stay, rate of infection and recurrence.
Results: Patients were included divided into two equal groups of 50 patients. In limberg flap ( A) and karydakis(B) group mean duration
of stay was 3.7 and 3.4 days, recurrence occurs in 4(8%) and 10(20%) cases, infection occurs in 2(4%) and 11(22%) cases and means
operative time was 51.42 and 41.82 minutes respectively.
Conclusion: Modified Limberg flap give better result than karydakis flap technique in treatment of pilonidal diseases.
