A Prospective Comparative Study Between Karydakis Operation Versus Modified Bascom (Cleft Lift) Procedure for Pilonidal sinus.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Background: Pilonidal sinus is one of the common conditions encountered in general surgical practice, characterized by an epithelial tract generally containing hairs (the sinus) located in natal cleft, affecting young adults between age 15-30yrs and is associated with considerable morbidity. The management of pilonidal disease is always contentious. Method: A prospective comparative study was conducted on patients of age between 14-60yrs, being diagnosed with pilonidal sinus admitted to Dept of General Surgery, S.C.B Medical College between period AUGUST 2016 TO JULY 2018. After routine investigations, patients underwent randomly either of the procedures i.e. Karydakis or Bascom (modified) after an informed consent. Parameters like total operating time, amount of blood loss, perioperative pain, total hospital stay, total recovery time, complications and recurrence rate of patients were evaluated. Result: Out of 30 included in study, 15 patients with pilonidal sinus underwent Karydakis operation (Group A) and rest 15 underwent Modified Bascom (cleft lift) procedure (Group B). Mean operative time for Group A and Group B were 48.67± 10.08 mins and 60.00 ± 14.64 mins respectively(p<0.05). Average amount of blood loss in Group A and Group B were 132.67 ± 13.87 ml and 154.67 ± 12.46 ml (p<0.05). Mean hospital stay for Group A and Group B were 8.13 ± 2.13 days and 13.60 ± 1.64 days respectively. Mean time taken to return to work for Group A and Group B were 10.33 ± 1.84 days and 16.07 ± 2.40 days (p<0.05). No recurrence was found during follow up. Conclusion: Karydakis procedure is relatively easy with average learning curve with less number of days in hospital, less blood loss, less healing time and less loss of man-hours. More so Bascom (modified) procedure has more learning curve and lands up with delayed healing, though recurrence rate is almost same in the both groups.
Authors and Affiliations
Dr. Afroza Firodous
Keywords
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