• Turgut Karaca, Omer Yoldaş, Bülent Çağlar Bilgin, Saadet Ozer, Suna Yoldaş, and Nihal Gördesel Karaca.
• Ankara Occupational Disease Hospital, General Surgery, Turkey.
• Int J Surg. 2012 Jan 1;10(10):601-6.

AbstractThe aim of this study was to compare and analyze the short term results of modified Karydakis flap reconstruction (MKF) and modified Limberg flap reconstruction (MLF). This is a retrospective analysis of 81 patients operated for pilonidal sinus disease. There were 46 patients in MLF group and 35 patients in MKF group. We compared patients age, BMI, operation time, removal time of suction drain, time of feeling completely healed, type of presentation, complications, postoperative 1., 3., 5. Days VAS scores, time to stop analgesic drugs and time to sit on chair or throne without pain. Complication rate, analgesic drug stopping time, postoperative 5. days VAS score were lower in MLF group and there were significant difference between groups. MLF group patients feel better (P: 0.010), they recommended this operation to other pilonidal sinus patients (P: 0.010) and 36 of them rated their satisfaction excellent and 10 of them good (P: 0.010). MLF procedure was more comfortable for patients. Lesser pain, lower complication and recurrence rates and higher patient satisfaction were detected in MLF group.Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

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