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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Day-case Karydakis flap for pilonidal sinus.

John H Anderson1, Christina O Yip, J S Nagabhushan

  • 1Department of Coloproctology, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow, United Kingdom. j.h.anderson@clinmed.gla.ac.uk

Diseases of the Colon and Rectum
|January 15, 2008
PubMed
Summary
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Day-case Karydakis flap surgery for pilonidal sinus is feasible and safe, achieving primary wound healing and low recurrence. Smokers experienced quicker wound healing, with most patients resuming normal activity within a month.

Area of Science:

  • Surgical innovation in proctology.
  • Minimally invasive surgical techniques.

Background:

  • Pilonidal sinus treatment traditionally involves inpatient procedures.
  • The Karydakis flap is known for good outcomes in pilonidal sinus management.

Purpose of the Study:

  • To evaluate the feasibility, safety, and practical aspects of performing Karydakis flap surgery as a day-case procedure for pilonidal sinus.
  • To identify factors influencing wound healing after day-case Karydakis flap surgery.

Main Methods:

  • Prospective cohort study of 51 consecutive patients undergoing day-case Karydakis flap surgery by a single surgeon.
  • Patients were monitored weekly until complete wound healing.
  • Analysis of wound healing time in relation to patient demographics, disease characteristics, wound dimensions, and drain volume.

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Main Results:

  • Day-case Karydakis flap surgery proved feasible, safe, and effective, with no hospital readmissions, sepsis, or recurrence.
  • Median wound healing time was three weeks.
  • Smokers demonstrated faster wound healing compared to non-smokers; no other factors significantly impacted healing time.
  • 95% of patients returned to normal activities within one month.

Conclusions:

  • The Karydakis flap is a viable option for day-case surgery in pilonidal sinus patients.
  • This approach offers primary wound healing and low recurrence rates, similar to inpatient settings.