Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members

Abstract

The Karydakis method may be a preferable option in the treatment of SPD, due to the low rate of recurrence and the promising satisfaction rates.

Which surgical procedure offers the best treatment for pilonidal disease?

“…The rates of recurrence are reported as 1-37% [8,15] for the primary closure technique, 0-3% for the D-flap technique [2], 0-5% [1,4,15,16] for the Karydakis technique, and 0.5% [3,6,9,17,18] for the rhomboid technique.…”

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

“…It is more common in male subjects between the ages of 20 and 25 years. 16 The disease was seen 4.1 to 8.1 times more in males than in females. 17,18 The reason that higher frequency exists in puberty and lower frequency exists for those over 40 years of age could be explained by the effect of more active sex hormones during puberty on pilosebaceous glands.…”

Prospective Analysis of Cosmesis, Morbidity, and Patient Satisfaction Following Limberg Flap for the Treatment of Sacrococcygeal Pilonidal Sinus

“…4,5 Therefore, some authors recommend a lateralization of the natal cleft to prevent midline recurrence. 6,7 With the Karydakis technique, recurrence rates of 4.6% to 6% have been reported, 8,9 but the procedure has a high infection rate of up to 46.4% with wound breakdown and subsequent open wound healing. 10 Lately, very encouraging results have been published for rhomboid excision of the natal cleft incorporating the pilonidal sinus tracks and coverage of the defect with a Limberg flap.…”