Treatment of Pilonidal Sinus: Comparison of primary closure by Karydakis Technique and Wide Local Excision

Abstract

Treatment of pilonidal sinus is controversial. Outcome of wide excision and asymmetric closure of pilonidal sinus by Karydakis technique in uninfected pilonidal sinus was compared in this prospective randomized study, comprising of 40 patients, conducted in the Department of General Surgery, Sir Ganga Ram Hospital Lahore, Pakistan. Hospital stay and healing time was shorter, 6.75±3.11 versus 9.75±4.16 days, and days 10.75±5.40 versus 47.30±14.11 days respectively (p-value <0.05) and the patients resumed their job earlier, 14±3.83 days versus 28.85±11.03 days p-value <0.05). Karydakis technique was more cosmetic and associated with less infection and wound failure/recurrence, though statistically insignificant. Karydakis is a superior technique as compared to excision followed by healing by granulation in uninfected pilonidal sinus.