Reduction Dead Space Volume With Karydakis Modification

Siverek Devlet Hastanesi

Status: Completed

Conditions: PILONIDAL SINUS

Treatments: Procedure: A new surgical technique

Study type: Interventional

Funder types: Other

Identifiers

NCT02574936

74059997.050.01.04/77

Details and patient eligibility

About

The purpose of this study is to reduce the volume of dead space by a modification in kardakis flap procedure and consequently, to reduce the use of drains, wound drainage, seroma and hematoma formation, skin degradation and recurrence rates.

Full description

The study was a pilot study of 80 patients. Excluding criteria were previous sinüs surgery, active infection, patients who did not accept the procedure and patients under age of 18. After excision of the sinüs volume was measured using a beaker. A flap extending across the cut (Karydakis) was prepared in medial edge of the wound, 1 cm deep and 2 to 3 cm to be towards the interior. Prepared flap was shifted to the medial and sutured to presacral fascia with vicryl 2/0. To reduce the volume of the dead space formed in the lateral, 5 mm skin was excised along the incision in the flap side. Skin was approximated with sutures in the form of intermittent, using 2/0 poliprolen. No drain used. All patients were discharged on postoperative day 1. Sutures were removed 2 weeks later. All patients for at least 6 months were followed for wound drainage, seroma and hematoma formation, separation of skin and and recurrence.

Enrollment: 80 patients

Sex: All

Ages: 18 to 49 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients older than 18 years
• patients who accept the procedure
• chronic p.sinüs disease

Exclusion criteria

• previous sinüs surgery
• active infection
• patients who did not accept the procedure
• patients under age of 18.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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80 participants in 1 patient group

modified Karydakis,surgical technique

Other group

Description:

a new surgical technique(modified Karydakis) to be compared with standard Karydakis

Treatment:

Procedure: A new surgical technique