COMPARATIVE STUDY BETWEEN COMPLETE EN-BLOC EXCISION WITH MIDLINE CLOSURE AND KARYDAKIS TECHNIQUE IN TREATMENT OF PILONIDAL SINUS
AHMED HUSSIENY AHMED AL.BARBARY;
Abstract
Pilonidal disease includes some clinical phenomena, which occur in the soft tissues overlying the sacrococcygeal region. It consists of a cavity containing thin brownish fluid and epithelial debris or of a sinus tract or tracts with one or more openings on the skin in or near the natal cleft. Hairs are fOtmd in the cavity or protruding from the sinus opening.
The external orifice of the pilonidal sinus is generally in the midline of the natal cleft few inches above the .anus, from it a primary tract extends into the subcutaneous tissue in a cephalic direction for a variable distance often expanding into a tenninal cavity. Secondary tracts, almost always directed sideways, are often found and connect the deep part of the primruy tract to the secondary opening lying to one or other side of the midline.
Many procedures have been described for the management of symptomatic Pilonidal sinus, none of which are perfect. The ideal operation should be simple to perfonn and have a low recurrence rate when perfonned by surgeons with a rru1ge of different experience and skill. Healing should be rapid and complete with minimal need for aftercare. No single operation fulfils these requirements.
The aim of this study was to evaluate the efficacy of complete en-bloc excision with midline closure versus Karydakis technique in the management of sacrococcygeal pilonidal sinus.
This study was carried out on 20 patients with pilonidal sinus dw•ing the period from December 2000 to September 200 I. All the patients were
The external orifice of the pilonidal sinus is generally in the midline of the natal cleft few inches above the .anus, from it a primary tract extends into the subcutaneous tissue in a cephalic direction for a variable distance often expanding into a tenninal cavity. Secondary tracts, almost always directed sideways, are often found and connect the deep part of the primruy tract to the secondary opening lying to one or other side of the midline.
Many procedures have been described for the management of symptomatic Pilonidal sinus, none of which are perfect. The ideal operation should be simple to perfonn and have a low recurrence rate when perfonned by surgeons with a rru1ge of different experience and skill. Healing should be rapid and complete with minimal need for aftercare. No single operation fulfils these requirements.
The aim of this study was to evaluate the efficacy of complete en-bloc excision with midline closure versus Karydakis technique in the management of sacrococcygeal pilonidal sinus.
This study was carried out on 20 patients with pilonidal sinus dw•ing the period from December 2000 to September 200 I. All the patients were
Other data
| Title | COMPARATIVE STUDY BETWEEN COMPLETE EN-BLOC EXCISION WITH MIDLINE CLOSURE AND KARYDAKIS TECHNIQUE IN TREATMENT OF PILONIDAL SINUS | Other Titles | دراسة مقارنة بين الاستئصال الكلي مع الغلق في المنتصف وطريقة كاريداكس في علاج الناسور العصصي | Authors | AHMED HUSSIENY AHMED AL.BARBARY | Issue Date | 2002 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.