Classical Limberg versus classical Karydakis flaps for pilonidal disease- an updated systematic review and meta-analysis of randomized controlled trials

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Shaheel M SaheballyJohn P Burke

Abstract

Pilonidal disease (PD) is associated with significant disability culminating in time off work/school. Recurrence rates remain high following conventional surgical interventions. Flap-based techniques are postulated to decrease recurrence. We performed a systematic review and meta-analysis to compare the effectiveness of the classical Limberg (LF) and Karydakis (KF) flaps in the treatment of PD. The online databases of Medline, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials as well as Google Scholar were searched for relevant articles from inception until May 2017. All randomized studies that reported direct comparisons of classical LF and KF were included. Two independent reviewers performed data extraction. Random effects models were used to calculate pooled effect size estimates. A sensitivity analysis was also carried out. Five randomized controlled trials describing 727 patients (367 in LF, 360 in KF) were examined. There was significant heterogeneity among studies. On overall random effects analysis, there was a lower rate of seroma formation associated with LF, and this approached statistical significance (OR = 0.47, 95% CI = 0.22 to 1.03, p = 0.06). However, there were no significant differences in recurr...Continue Reading

Citations

Aug 16, 2019·Asian Journal of Endoscopic Surgery·Jacques Eastment, Kellee Slater
Sep 19, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M RomaniszynP J Walega
Feb 10, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Lidia Cristóbal PochJuan Ramon Sanz Gimenez-Rico
Mar 18, 2021·Techniques in Coloproctology·M KumarD Hind
May 6, 2021·Langenbeck's Archives of Surgery·I IesalnieksD Doll

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