KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE
Autor(a) principal: | |
---|---|
Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.1018 |
Resumo: | Introduction: The sacrococcygeal pilonidal disease (SPD) represents a group of abscesses or sinuses with hairy content, occurring in the intergluteal cleft. Karydakis flap (KF) technique is based on the excision of SPD with a mobilized fasciocutaneous flap, with lateral suture lines. With this flap, by decreasing tension in the surgical wound, leads to less pain, faster recovery and, therefore, it reduces recurrence and complication rates. Due to the low learning curve and high reproducibility rate, this technique was routinely introduced in our Department. Methods: This retrospective study comprised patients submitted to chronic SPD excision between January 2010 and December 2017. Out of 1621 patients, 97 underwent chronic SPD excision under KF technique. Patient data were obtained by analyzing Institution records and making phone calls inquiring surgical complications. Results: Our recurrence rate was 3.1% (n=3) and post-operative complication was 19.6% (n=19). Discussion: recurrence rate matches the consulted literature for the same procedure: 4% for Kitchen et al., 3.16% for Erkent et al., <1% for Karydakis and 6% for Ferreira et al.. Complication rate was relatively high (19.6%) but similar to some published literature (21% for Petersen et al. and 19% for Kartal et al.; 14% for Ferreira et al.; 10.1% for Erkent et al. and 8.5% for Karydakis). Conclusion: In agreement with the published literature, this technique is therefore validated for use in our Institution. |
id |
RCAP_c3e9ed9b76293126c19e5514fab8036f |
---|---|
oai_identifier_str |
oai:revista.spcir.com:article/1018 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCEPLASTIA DE KARYDAKIS NA DOENÇA PILONIDAL SACROCOCCÍGEA: UMA BREVE REVISÃO E EXPERIÊNCIA DE UM SERVIÇOIntroduction: The sacrococcygeal pilonidal disease (SPD) represents a group of abscesses or sinuses with hairy content, occurring in the intergluteal cleft. Karydakis flap (KF) technique is based on the excision of SPD with a mobilized fasciocutaneous flap, with lateral suture lines. With this flap, by decreasing tension in the surgical wound, leads to less pain, faster recovery and, therefore, it reduces recurrence and complication rates. Due to the low learning curve and high reproducibility rate, this technique was routinely introduced in our Department. Methods: This retrospective study comprised patients submitted to chronic SPD excision between January 2010 and December 2017. Out of 1621 patients, 97 underwent chronic SPD excision under KF technique. Patient data were obtained by analyzing Institution records and making phone calls inquiring surgical complications. Results: Our recurrence rate was 3.1% (n=3) and post-operative complication was 19.6% (n=19). Discussion: recurrence rate matches the consulted literature for the same procedure: 4% for Kitchen et al., 3.16% for Erkent et al., <1% for Karydakis and 6% for Ferreira et al.. Complication rate was relatively high (19.6%) but similar to some published literature (21% for Petersen et al. and 19% for Kartal et al.; 14% for Ferreira et al.; 10.1% for Erkent et al. and 8.5% for Karydakis). Conclusion: In agreement with the published literature, this technique is therefore validated for use in our Institution.Introdução: A doença pilonidal sacrococcígea (DPS) representa um grupo de abscessos ou sinus de conteúdo piloso, localizados na prega interglútea. A técnica da plastia de Karydakis (PK) é baseada na excisão da DPS através da mobilização de um retalho fasciocutâneo, com linhas de sutura laterais. Com esse retalho, ao diminuir a tensão na ferida operatória, diminui a dor e tempo de recuperação reduzindo, assim, taxas de recorrência e complicações. Pela curta curva de aprendizagem e alta reprodutibilidade, esta técnica foi introduzida de forma rotineira no nosso Serviço. Métodos: Este estudo retrospetivo incluiu doentes submetidos a excisão da DPS crónica entre janeiro de 2010 e dezembro de 2017. Dos 1621 doentes, 97 foram submetidos a excisão da DPS crónica pela técnica da PK. Os dados sobre os doentes foram obtidos utilizando os registos Hospitalares e através da realização de telefonemas questionando complicações. Resultados: a taxa de recorrência foi de 3,1% (n=3) e a de complicações pós-operatórias de 19,6% (n=19). Discussão: a taxa de recorrência está de acordo com a literatura consultada para o mesmo procedimento: 4% para Kitchen et al., 3,16% para Erkent et al., <1% para Karydakis e 6% para Ferreira et al. A taxa de complicações foi relativamente alta (19,6%), mas semelhante a alguma literatura publicada (21% para Petersen et al. e 19% para Kartal et al., 14% para Ferreira et al., 10,1% para Erkent et al., 8,5% para Karydakis. Conclusão: Em concordância com a literatura publicada, esta técnica é, portanto, validada para uso na nossa Instituição.Sociedade Portuguesa de Cirurgia2024-01-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.1018https://doi.org/10.34635/rpc.1018Revista Portuguesa de Cirurgia; No 56 (2023): December; 51-55Revista Portuguesa de Cirurgia; No 56 (2023): December; 51-552183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/1018https://revista.spcir.com/index.php/spcir/article/view/1018/693Copyright (c) 2024 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessMendes, JoãoDuque, RitaPereira-Macedo, JulianaFreire, BárbaraOliveira, CarlosCarvalho, MárciaPaiva, ArmandoLemos, RicardoCurralo, JoséSampaio, Francisco2024-02-22T22:32:43Zoai:revista.spcir.com:article/1018Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:10:53.928813Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE PLASTIA DE KARYDAKIS NA DOENÇA PILONIDAL SACROCOCCÍGEA: UMA BREVE REVISÃO E EXPERIÊNCIA DE UM SERVIÇO |
title |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
spellingShingle |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE Mendes, João |
title_short |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
title_full |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
title_fullStr |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
title_full_unstemmed |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
title_sort |
KARYDAKIS FLAP ON SACROCOCCYGEAL PILONIDAL DISEASE: A BRIEF REVIEW AND DEPARTMENT EXPERIENCE |
author |
Mendes, João |
author_facet |
Mendes, João Duque, Rita Pereira-Macedo, Juliana Freire, Bárbara Oliveira, Carlos Carvalho, Márcia Paiva, Armando Lemos, Ricardo Curralo, José Sampaio, Francisco |
author_role |
author |
author2 |
Duque, Rita Pereira-Macedo, Juliana Freire, Bárbara Oliveira, Carlos Carvalho, Márcia Paiva, Armando Lemos, Ricardo Curralo, José Sampaio, Francisco |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mendes, João Duque, Rita Pereira-Macedo, Juliana Freire, Bárbara Oliveira, Carlos Carvalho, Márcia Paiva, Armando Lemos, Ricardo Curralo, José Sampaio, Francisco |
description |
Introduction: The sacrococcygeal pilonidal disease (SPD) represents a group of abscesses or sinuses with hairy content, occurring in the intergluteal cleft. Karydakis flap (KF) technique is based on the excision of SPD with a mobilized fasciocutaneous flap, with lateral suture lines. With this flap, by decreasing tension in the surgical wound, leads to less pain, faster recovery and, therefore, it reduces recurrence and complication rates. Due to the low learning curve and high reproducibility rate, this technique was routinely introduced in our Department. Methods: This retrospective study comprised patients submitted to chronic SPD excision between January 2010 and December 2017. Out of 1621 patients, 97 underwent chronic SPD excision under KF technique. Patient data were obtained by analyzing Institution records and making phone calls inquiring surgical complications. Results: Our recurrence rate was 3.1% (n=3) and post-operative complication was 19.6% (n=19). Discussion: recurrence rate matches the consulted literature for the same procedure: 4% for Kitchen et al., 3.16% for Erkent et al., <1% for Karydakis and 6% for Ferreira et al.. Complication rate was relatively high (19.6%) but similar to some published literature (21% for Petersen et al. and 19% for Kartal et al.; 14% for Ferreira et al.; 10.1% for Erkent et al. and 8.5% for Karydakis). Conclusion: In agreement with the published literature, this technique is therefore validated for use in our Institution. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.1018 https://doi.org/10.34635/rpc.1018 |
url |
https://doi.org/10.34635/rpc.1018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/1018 https://revista.spcir.com/index.php/spcir/article/view/1018/693 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 56 (2023): December; 51-55 Revista Portuguesa de Cirurgia; No 56 (2023): December; 51-55 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137759186649088 |