Abstract：
OBJECTIVE: Pilonidal sinus disease is a disease that especially affects the young population and causes loss of workforce. Although many treatment methods have been defined, there is still no \"gold standard\" treatment method. Our objective was to evaluate the postoperative results of bilateral parallel elliptical flap and Karydakis flap in the surgical treatment of pilonidal sinus.
METHODS: This study was conducted at the Colorectal Surgery Department of Ankara Numune Training and Research Hospital. It designed a prospective randomized controlled study. Patients that underwent surgery due to pilonidal sinus were included in the study. The patients were randomly divided into two groups. Surgery was performed with the bilateral parallel elliptical flap (BPEF) technique in one group and the Karydakis flap (KF) technique in the other group. Postoperative pain, length of hospital stay, wound complications, time taken to return to work/school, and recurrence incidence were evaluated.
RESULTS: A total of 102 patients were included in the study, 49 in the BPEF group and 53 in the KF group. The length of hospital stay was similar in the BPEF and KF groups (1.41 ± 0.81 and 1.45 ± 0.84, respectively; p > 0.05). There was less postoperative pain in the BPEF group (2.47 ± 1.02 vs 3.57 ± 1.10, p < 0.05). Wound complications were observed in nine patients in the BPEF group (18.2%) and 14 patients in the KF group (26.2%). The time to return to work/school was shorter in the BPEF group (21.06 ± 6.37 vs 27.04 ± 7.45; p < 0.05). Recurrence developed in two (4%) patients in the BPEF group and three (5.6%) patients in the KF group (p > 0.05).
CONCLUSIONS: The patients who underwent surgery with the bilateral parallel elliptical flap technique had less pain and a shorter time to return to work/school after the operation. The postoperative complication and recurrence rates were similar in both groups.
BACKGROUND: clinicaltrials.gov identifier: NCT05851690. (5/11/2023) (retrospectively registered).
METHODS: This study was conducted at the Colorectal Surgery Department of Ankara Numune Training and Research Hospital. It designed a prospective randomized controlled study. Patients that underwent surgery due to pilonidal sinus were included in the study. The patients were randomly divided into two groups. Surgery was performed with the bilateral parallel elliptical flap (BPEF) technique in one group and the Karydakis flap (KF) technique in the other group. Postoperative pain, length of hospital stay, wound complications, time taken to return to work/school, and recurrence incidence were evaluated.
RESULTS: A total of 102 patients were included in the study, 49 in the BPEF group and 53 in the KF group. The length of hospital stay was similar in the BPEF and KF groups (1.41 ± 0.81 and 1.45 ± 0.84, respectively; p > 0.05). There was less postoperative pain in the BPEF group (2.47 ± 1.02 vs 3.57 ± 1.10, p < 0.05). Wound complications were observed in nine patients in the BPEF group (18.2%) and 14 patients in the KF group (26.2%). The time to return to work/school was shorter in the BPEF group (21.06 ± 6.37 vs 27.04 ± 7.45; p < 0.05). Recurrence developed in two (4%) patients in the BPEF group and three (5.6%) patients in the KF group (p > 0.05).
CONCLUSIONS: The patients who underwent surgery with the bilateral parallel elliptical flap technique had less pain and a shorter time to return to work/school after the operation. The postoperative complication and recurrence rates were similar in both groups.
BACKGROUND: clinicaltrials.gov identifier: NCT05851690. (5/11/2023) (retrospectively registered).
摘要：
目的：鼻窦病是一种特别影响年轻人群并导致劳动力流失的疾病。尽管已经定义了许多治疗方法，目前还没有“金标准”的治疗方法。我们的目的是评估双侧平行椭圆形皮瓣和Karydakis皮瓣在藏毛窦手术治疗中的术后效果。
方法：本研究在安卡拉Numune培训研究医院结直肠外科进行。设计了一项前瞻性随机对照研究。因藏毛窦而接受手术的患者被纳入研究。将患者随机分为两组。一组采用双侧平行椭圆形皮瓣（BPEF）技术进行手术，另一组采用Karydakis皮瓣（KF）技术进行手术。术后疼痛,住院时间,伤口并发症,回到工作/学校所需的时间，并评估复发发生率。
结果：共102名患者被纳入研究，BPEF组49和KF组53。BPEF组和KF组的住院时间相似（分别为1.41±0.81和1.45±0.84；p>0.05）。BPEF组术后疼痛减轻(2.47±1.02vs3.57±1.10,p<0.05)。BPEF组9例（18.2％）和KF组14例（26.2％）观察到伤口并发症。BPEF组返回工作/学校的时间较短（21.06±6.37vs27.04±7.45；p<0.05）。BPEF组中有2例（4％）患者复发，KF组中有3例（5.6％）患者复发（p>0.05）。
结论：接受双侧平行椭圆皮瓣技术手术的患者术后疼痛较轻，重返工作/学校的时间较短。两组术后并发症和复发率相似。
背景：clinicaltrials.gov标识符：NCT05851690。（5/11/2023）（追溯注册）。
方法：本研究在安卡拉Numune培训研究医院结直肠外科进行。设计了一项前瞻性随机对照研究。因藏毛窦而接受手术的患者被纳入研究。将患者随机分为两组。一组采用双侧平行椭圆形皮瓣（BPEF）技术进行手术，另一组采用Karydakis皮瓣（KF）技术进行手术。术后疼痛,住院时间,伤口并发症,回到工作/学校所需的时间，并评估复发发生率。
结果：共102名患者被纳入研究，BPEF组49和KF组53。BPEF组和KF组的住院时间相似（分别为1.41±0.81和1.45±0.84；p>0.05）。BPEF组术后疼痛减轻(2.47±1.02vs3.57±1.10,p<0.05)。BPEF组9例（18.2％）和KF组14例（26.2％）观察到伤口并发症。BPEF组返回工作/学校的时间较短（21.06±6.37vs27.04±7.45；p<0.05）。BPEF组中有2例（4％）患者复发，KF组中有3例（5.6％）患者复发（p>0.05）。
结论：接受双侧平行椭圆皮瓣技术手术的患者术后疼痛较轻，重返工作/学校的时间较短。两组术后并发症和复发率相似。
背景：clinicaltrials.gov标识符：NCT05851690。（5/11/2023）（追溯注册）。
