Background: A pilonidal cystectomy is surgery to completely remove the cyst, along with the pilonidal sinus tracts. While this procedure is more complex than an incision and drainage, it's also more likely to be successful.
Aim of the work: evaluated the Karidakis lateral approach; and excision of pilonidal sinus with suturing skin edge to pre-sacral fascia
Patient and methods: This study was carried out on 40 patients with pilonidal sinus admitted to Kobry El-Kobba Military Campus during the period of (2017-2019) the patients were divided into two groups: GI included 20 patients treated by surgical excision of the sinus through lateral approach of Karydakis, and GII included 20 patients treated by surgical excision of the sinus with suturing of skin edge to pre-sacral fascia. All patients were male military patients with age ranged between (22-45) years with mean of 30 years.
Results: The results compared both techniques to patient's convenience, infection rate, hospital stay, recurrence rate, operative time, healing time, and histopathological outcome. Conclusion: The choice of a particular surgical approach is dependent on the surgeon's familiarity with the procedure and perceived results in terms of low recurrence of the sinus and of quick healing of the resulting cavity or surgical wound