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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

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Published on: December 5, 2025

Karydakis flap for recurrent pilonidal disease.

Igors Iesalnieks1, Sina Deimel, Hans J Schlitt

  • 1Department of Surgery, Marienhospital Gelsenkirchen, Virchowstrasse 135, 45886 Gelsenkirchen, Germany. iesalnieks_igors@hotmail.com

World Journal of Surgery
|February 26, 2013
PubMed
Summary

For recurrent pilonidal disease, the Karydakis flap procedure significantly reduces re-recurrence rates compared to midline excision surgery. This study highlights the Karydakis flap as a superior surgical option for complex cases.

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Area of Science:

  • Surgical outcomes
  • Pilonidal disease management
  • Recurrent disease treatment

Background:

  • Recurrent pilonidal disease presents a high risk of further re-recurrence after surgical intervention.
  • Midline excision surgery is a common treatment, but often leads to unsatisfactory long-term results in recurrent cases.

Purpose of the Study:

  • To compare the long-term efficacy of the Karydakis flap procedure versus midline excision surgery for treating recurrent pilonidal disease.
  • To evaluate recurrence rates and surgical complication rates between the two surgical techniques.

Main Methods:

  • Retrospective analysis of 124 patients with recurrent pilonidal disease who underwent either midline excision (Group 1, n=37) or Karydakis flap (Group 2, n=87).
  • Inclusion criteria: previous excision surgery (excluding simple abscess incision).
  • Disease recurrence defined as the need for repeat surgery.

Main Results:

  • The Karydakis flap group (Group 2) demonstrated a significantly lower 1-year recurrence rate (3%) compared to the midline excision group (Group 1) (43%).
  • Patients in Group 1 had a higher average number of previous surgeries (2.1 vs. 1.8).
  • Wound dehiscence rates for the Karydakis flap decreased from 43% (2005-2009) to 10% after procedural improvements.

Conclusions:

  • The Karydakis flap procedure is demonstrably superior to midline excision for managing recurrent pilonidal disease.
  • The findings support the Karydakis flap as a preferred surgical option for patients with complex or recurrent pilonidal disease.