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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.

Muhammad Naeem Ashraf, Muhammad Azhar, Naeem Akhtar, Kamran Afzal. (2019) utcome of modified limberg flap with karydakis flap in treatment of pilonidal diseases., Isra Medical Journal, Volume 11, issue 6.
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