Karydakis procedure can be effectively performed in the lateral position

ANZ Journal of Surgery
Marie S De RoblesChristopher J Young

Abstract

Karydakis published a large pilonidal series in 1992, reporting a recurrence rate of less than 1% and complication rate of 8.5%. The aim of this study was to compare the outcomes of Karydakis procedure (KP) performed in the lateral versus the prone position in a consecutive series. Ninety-seven consecutive patients undergoing a KP between March 2000 and February 2018 were retrospectively assessed. Patients with disease sinuses or fistulas extending from the midline to either left or right sides only were considered for KP in the contralateral side position. Surgery was carried out for primary pilonidal disease in 71 patients (73%) and for recurrent disease in 26 patients (27%). The majority (62%) of pilonidal tracts veered off from the midline to either the left or right side only. Wound complications, mostly minor skin separation, occurred in 37 patients (38%). Disease recurrence occurred in eight patients (8%). There was no difference between patients who had KP in a lateral position compared with those operated in a prone position regarding wound complications (41% versus 35%, P = 0.675), disease recurrence (9% versus 7%, P = 1.000), mean operating time (64.6 min versus 66.6 min, P = 0.259) and mean length of hospital stay (...Continue Reading

References

May 1, 1992·The Australian and New Zealand Journal of Surgery·G E Karydakis
Feb 1, 1990·The British Journal of Surgery·T G Allen-Mersh
Dec 1, 1970·The British Journal of Surgery·M J Notaras
Oct 1, 1996·The British Journal of Surgery·P R Kitchen
Jan 9, 2003·The Surgical Clinics of North America·Tracy L Hull, James Wu
Sep 30, 2005·Anesthesia and Analgesia·Conan L McCaulJohn F Boylan
Feb 20, 2007·ANZ Journal of Surgery·Anil KeshavaGael Sinclair
Sep 4, 2007·Journal of the American College of Surgeons·Haitham Al-KhayatAbdulhameed Al-Momen
Dec 3, 2010·The British Journal of Surgery·M R ThompsonP Kitchen
Nov 2, 2012·International Surgery·Akin OnderBilsel Bac
Aug 10, 2013·Diseases of the Colon and Rectum·Scott R SteeleUNKNOWN Standards Practice Task Force of the American Society of Colon and Rectal Surgeons
Apr 14, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jason Chui, Rosemary Ann Craen

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