PMID: 8944470Oct 1, 1996Paper

Pilonidal sinus: experience with the Karydakis flap

The British Journal of Surgery
P R Kitchen

Abstract

A personal series of 141 patients with postanal pilonidal sinus was treated by the Karydakis operation. Each sinus was totally excised with a vertical eccentric elliptical excision. A thick flap was created by undercutting the medial edge and advancing it across the midline so that the whole suture line was lateralized to reduce the risk of recurrence. Follow-up was achieved in 114 patients for 1-108 months; 79 (69 per cent) were followed for more than 18 months. Overall there were five recurrences (4 per cent) which required further surgery. Thirty-three patients (23 per cent) were referred following recurrence or failure of healing after previous surgery elsewhere; all were cured by this method. The Karydakis operation has a low recurrence rate because it produces a shallow midline furrow free from scar or suture holes which is less vulnerable to hair penetration than a midline wound.

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Citations

Aug 19, 2000·Diseases of the Colon and Rectum·J H da Silva
Nov 21, 1998·Diseases of the Colon and Rectum·E ErdemM Neşşar
Mar 5, 2005·International Journal of Colorectal Disease·Huseyin BerkemNusret Akyurek
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Sep 23, 2006·Diseases of the Colon and Rectum·Metin KementLevent Kaptanoglu
Jul 31, 2007·Diseases of the Colon and Rectum·Haluk R UnalpMehmet Ali Onal
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Jun 22, 2015·The Journal of Surgical Research·Amir KeshvariMohammad Kazem Nouritaromlou

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