Background: Katydakis and Bascom designed new lines of surgical treatment of pilonidal
sinus. Both of them share the principles of off-mid//tie scar and cleft lift The objective of this
randomized clinical trial as to evaluate prospectively the outcome of adding few modifications
to both techniques qfKarydctkis and Bascom.
Method: Sixty eight patientswithpilonidal sinus were included in this study After eradication
of pathological tissues; the skin flap was created, a fasciofaity flap was everted tofill the natal
cleft. On table removal of drain was done after sittureless collapse of wound cavity.
Results: The depth of the natal cleft showed a clear reduction. Four cases (5.9%) developed
seroma which required simple needle aspiration. All patients attended the follow up period with
no recurrences.
Conclusion: This technique carries the simplicity with promising results. It helps in pathology
eradication and reduction of natal cleft depth through a reliable filling with fasciofatty flap.
Key words: Pilonidal sinus, Katydakis-modification, Bascom modification, fascio-fatty flap,
cleft lift, sutureless collapse of wound cavity. |
