Karydakis Flap Procedure in Patients with Sacrococcygeal Pilonidal Sinus Disease: Experience of a Single Centre in Istanbul

Abstract

Background. The aim of this retrospective study was to evaluate the results of patients with sacrococcygeal pilonidal sinus who underwent surgery using the Karydakis technique. Methods. Two hundred fifty-seven patients with sacrococcygeal pilonidal sinus disease were treated by the Karydakis flap procedure between December 2003 and June 2011. Patients were evaluated with respect to age, gender, preoperative symptoms, duration of preoperative symptoms, history of pilonidal sinus surgery, early postoperative complications, recurrence rates, and cosmetic satisfaction. Results. There were 223 (86.8%) male and 34 (13.2%) female patients. The mean age of the patients was 27.15 ± 7.69 years. The most frequent symptom was seropurulent discharge (57.58%). Postoperative morbidity was noted in 24 patients (9.3%). The mean hospital length of stay was 3.34 ± 1.42 days. The cosmetic satisfaction rate was 91.06%. Recurrences were noted in 6 patients (2.3%). Conclusion. The Karydakis flap procedure is a safe treatment alternative for the surgical treatment of sacrococcygeal pilonidal sinus disease owing to the associated low complication rate, short hospital length of stay, rapid healing, and a high patient satisfaction rate.

Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

“…Treatment of pilonidal sinus disease contains many different techniques from simple drainage to complicated flaps (8)(9)(10)13). The treatment may vary with the disease condition and the surgeon's experience.…”

“…Although there are many different opinions regarding the surgical treatment of pilonidal sinus disease in the literature, the common issues are that surgery should be simple and easily applicable, that the hospital length of stay should be short, with less postoperative wound care and pain, low recurrence rates and short period to return to daily activities (4)(5)(6). That is why various surgical techniques like sinotomy, marsupialization, Karydakis, oblique primary repair and flap techniques have been applied and compared for many years (7)(8)(9)(10)(11).…”

Pilonidal Sinus, A Vexing Problem With Special Reference To Intermammary Sinus

“…limberg flap is said to be a better option for sacrococcygeal PNS as per Osmanoglu G et al [13] Yildiz MK etal shows that Karydakis flap treatment for sacrococcygeal PNS is associated with low complication rate, shorter hospital stay, faster healing, and less morbidity. [14] Fibrin glue, Bascoms technique are the other available options for the treatment of PNS. [15] …”

A new surgical approach for pilonidal sinus disease: “de-epithelialization technique’’

“…Flattening the natal cleft, which was the outcome of the de-epithelialization technique, could be the main reason of the low recurrence rate. As a matter of fact, flattening of the natal cleft and lateralization have already been described by Yildiz et al (29) as the goal of an ideal treatment for PSD. However, the data will need to be reevaluated at the end of a longer follow-up period.…”