Akademik Veri Yönetim Sistemi
Antioch Health Science and Management, cilt.1, sa.1, ss.1-5, 2025 (Hakemli Dergi)
Crystallized phenol application and the modified Limberg flap technique are commonly used methods in the treatment of pilonidal sinus. This study aims to compare the outcomes of these two techniques and identify their advantages and disadvantages. The medical records of patients who underwent crystallized phenol application and modified Limberg flap surgery between 2019 and 2024 were reviewed retrospectively. The two groups were compared in terms of age, gender, body mass index, surgical site infections, drain usage, and recurrence rates. The study revealed that crystallized phenol was applied to 44 patients, while 56 patients underwent the modified Limberg flap procedure. In the crystallized phenol group, all procedures were performed under local anesthesia, whereas the patients in the Limberg flap group underwent surgery under spinal anesthesia. There were no significant differences between the groups regarding age, gender, and body mass index (p>0.05). Patients treated with phenol were discharged on the same day, while the average hospital stay for the flap group was 1.2 ± 0.5 days. In terms of recurrence, it was found to be 20.5% in the crystallized phenol group and 1.8% in the modified flap group, with the difference between the groups being statistically significant (p<0.05). The main advantages of crystallized phenol application were its ability to be performed under local anesthesia and not requiring hospitalization, while its primary disadvantage was the high recurrence rate. In contrast, the main advantage of the modified Limberg flap method was its low recurrence rate.
Keywords: Pilonidal sinus, Modified limberg flap, Crystallized phenol