Neoplasms

All Conditions

Respiratory Tract (Lung and Bronchial) Diseases

Ear, Nose, and Throat Diseases

Symptoms and General Pathology

Pilonidal Sinus

Paranasal Sinus Diseases

Cysts

Nose Diseases

Respiratory Tract Diseases

Otorhinolaryngologic Diseases

Patients operated with the bilateral parallel elliptic flap technique.

Patients operated with the karydakis flap technique.

Advancement flap techniques in surgical treatment of pilonidal sinus disease.

Surgical treatment of pilonidal sinus disease

Sacrococcygeal pilonidal sinus disease (PSD) has been defined as a disease characterized by chronic inflammation and recurrent infections caused by the movement of hair toward the gluteal sulcus. This condition is especially seen in young men and negatively affects the quality of life of patients and prevents them from performing their work and school activities. The treatment options for PSD range from the use of antibiotics alone to reconstructed excision with tissue flaps. Although the optimal surgical treatment option remains controversial, expectations from the ideal surgical treatment include low recurrence and postoperative complication rates, early wound healing, short hospital stay, early return to work, and good cosmetic outcomes. The aim of this study was to compare the efficacy of the different flap techniques in the surgical treatment of PSD and evaluate the long-term outcomes of patients.

Comparison of Two Different Flap Methods in the Treatment of Pilonidal Sinus Disease

Bilaterally Parallel Elliptic Flap Versus Karydakis Flap in Pilonidal Sinus Disease: A Randomized Controlled Trial

All IPD that underlie results in a publication

Time to return to work in daily life after surgery

The pain scores of the patients were determined on the first postoperative day. The Visual Analog Scale (VAS), scored from 1 to 10, was administered to the patients to evaluate their postoperative pain levels.

Time to discharge from hospital after surgery

Atlas University

Asst. Prof.

Coagulants

All Drugs and Chemicals

Hemostatics

Excision of sinus and paramedian closure according to modified Karydakis technique

Removal / fistulectomy by scalpels or trephines of primary and drainage orifices and healing of the wound by second intention

Asymmetric skin incision and total excision of the lesion with monopolar scalpel. Accurate hemostasis, creation of a cutaneous-subcutaneous flap, primary closure with non-absorbable sutures, optional aspiration drainage.

Primary closure

Evaluation of the cavity using a 0.5-1 mm metal probe which will be inserted into the skin orifice. Excision of the skin around the orifice and debridement/excision of the cavity by monopolar scalpel or Trephines

Fistulectomy

This study wants to improve patient care affected by pilonidal sinus during and after surgery. Pilonidal sinus excision is a frequent procedure, despite this, there is still not an appropriate surgical technique because of a lack of quality comparative studies.

This is a randomized controlled trial. The study will compare the healing of the surgical wound and the recurrence rate after excision and primary para-median closure versus narrow orifice excision (fistulectomy)

Group A: excision and paramedian closure according to modified Karydakis technique

Group B: removal / fistulectomy by scalpels or trephines of primary and drainage orifices, healing of the wound by secondary intention

Fistulectomy vs. Modified Karydakis Procedure for Pilonidal Sinus

Two Surgical Techniques for the Treatment of Pilinidal Sinus: A Randomized Controlled Trial

Dimitri Christoforidis

Vice-Chief in Surgery

Recurrence

Anti-Infective Agents

Pharmaceutical Solutions

Phenol

Anti-Infective Agents, Local

Disinfectants

Sclerosing Solutions

Crystallized phenol application for pilonidal disease treatment. After sacrococcygeal region of the patient is cleaned from hairs, hairs inside the sinus are removed than crystallized phenol is applied in to the cleaned sinus. Following 2 minutes of phenol exposure, crystallized phenol is removed from the sinus. Crystallized phenol application will be repeated weekly for 4 weeks.

Crystallized phenol

Limberg Flap surgery for pilonidal disease treatment

Limberg Flap

Limberg flap surgery rhomboid incision is made asymmetrically 2-3 cm lateral to the midline on the side opposite to the donor area.

Modified Limberg Flap

Karydakis Flap surgery for pilonidal disease treatment

Karydakis Flap

Osman Doğru, M.D.

Although surgical techniques such as limberg flap. modified limberg flap and karydakis are currently most popular treatment methods for pilonidal disease, crystallized phenol application is also successfully used for pilonidal sinus treatment by different centers. We believe crystallized phenol application could become a good alternative to popular surgical interventions using transposition flaps.

Pilonidal sinus disease (PSD) is usually located at sacrococcygeal region of the body and mostly effect young males causing loss of labor and school time. Its incidence is reported 26 per 100000 in a Norwegian study. Although there are many treatment modalities either surgical or conservative, ideal treatment is still a matter of debate. Surgical techniques such as limberg flap, modified limberg flap and karydakis are most popular treatment methods for pilonidal disease crystallized phenol application is also successfully used for pilonidal sinus treatment by different centers. We would like to compare flap techniques and crystallized phenol application for complications, recurrence, patient comfort, duration of recovery and return to work. We believe crystallized phenol application could become a good alternative to popular surgical interventions using transposition flaps.

Crystallized Phenol Versus Transposition Flaps for Treatment of Pilonidal Disease: A Prospective Study

Crystallized Phenol Application Versus Transposition Flaps for Treatment of Sacrococcygeal Pilonidal Disease: A Prospective Randomized Study

Patients will be queried for when they felt comfortable to return to work and/or their routine physical activity.

Patients will be followed up for recurrence for three years. Total recurrence will be evaluated at the end of 3rd year.

Patients will be queried for patient comfort at the end of first year

Post procedure wound recovery duration will be recorded

Patients will be followed up for procedure related complications.

S.B. Konya Education and Research Hospital

Neoplasm Metastasis

Karydakis flap is a type of primary repair of the wound, after complete excision of sacral pilonidal cyst with 2 characteristics 1)lateralization of final scar 2)flattening of natal cleft

karydakis flap

laying open the site of excision of sinus or cyst without any flap

laying open

Amir Keshvari, Assoc. Prof.

Recurrence, Complications, Work-off date, Healing time and Patients Willingness in Karydakis Technique for Treatment of Sacrococcygeal Pilonidal Sinus versus Healing by Secondary Intention (EHSI) Technique in Imam Khomeini Hospital from 2008 to 2011

Karydakis Procedure Versus Excision With Healing by Secondary Intention (EHSI) in Sacrococcygeal Pilonidal Sinus

Recurrence, Complications, Work-off Date, Healing Time and Patients Willingness in Karydakis Technique for Treatment of Sacrococcygeal Pilonidal Sinus Versus Excision With Healing by Secondary Intention (EHSI)Technique

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Comparison of Two Different Flap Methods in the Treatment of Pilonidal Sinus Disease	NCT05851690	Pilonidal Sinus	Surgical treatm...	-	Atlas University
Fistulectomy vs. Modified Karydakis Procedure for Pilonidal Sinus	NCT03271996	Pilonidal Sinus	Primary closure Fistulectomy	16 Years -	Ente Ospedaliero Cantonale, Bellinzona
Comparison of Two Different Flap Methods in the Treatment of Pilonidal Sinus Disease	NCT05851690	Pilonidal Sinus	Surgical treatm...	-	Atlas University
Fistulectomy vs. Modified Karydakis Procedure for Pilonidal Sinus	NCT03271996	Pilonidal Sinus	Primary closure Fistulectomy	16 Years -	Ente Ospedaliero Cantonale, Bellinzona
Crystallized Phenol Versus Transposition Flaps for Treatment of Pilonidal Disease: A Prospective Study	NCT01792557	Pilonidal Sinus	Crystallized ph... Limberg Flap Modified Limber... Karydakis Flap	18 Years - 65 Years	S.B. Konya Education and Research Hospital
Karydakis Procedure Versus Excision With Healing by Secondary Intention (EHSI) in Sacrococcygeal Pilonidal Sinus	NCT00716937	Pilonidal Sinus Pilonidal Cyst	karydakis flap laying open	10 Years - 90 Years	Tehran University of Medical Sciences

Spots Global Cancer Trial Database for karydakis

Every month we try and update this database with for karydakis cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for karydakis

Every month we try and update this database with for karydakis cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for karydakis cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.