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Complications And Recurrence After The Karydakis Flap Surgery
1Necmettin Erbakan University, Meram Medical Faculty, Department of General Surgery, Konya/TURKEY.
Polski Przeglad Chirurgiczny
|March 17, 2021
Summary
The Karydakis surgery for pilonidal sinus offers a favorable treatment option. This surgical method demonstrates low complication and recurrence rates, aiding in patient recovery.
Area of Science:
- Surgical techniques
- Pilonidal sinus disease management
Background:
- Pilonidal sinus affects a young demographic, with existing surgical treatments lacking optimal recovery and recurrence rates.
- The search for effective pilonidal sinus disease treatments remains ongoing.
Purpose of the Study:
- To evaluate the clinical outcomes of patients treated with the Karydakis surgical procedure for pilonidal sinus.
- Assessing the efficacy and safety of the Karydakis surgery in a real-world patient cohort.
Main Methods:
- Retrospective analysis of 112 patients who underwent Karydakis surgery between 2012 and 2019.
- Inclusion criteria focused solely on patients treated with the Karydakis surgical technique.
Main Results:
- The study included 112 patients (20 female, 92 male) with a mean age of approximately 21 years and a mean BMI of 29.6 Kg/m2.
- Follow-up averaged 28 months, with a mean hospital stay of 2.1 days. Complication rates included wound dehiscence (10.2%), infection (3.6%), and hematoma (7.1%). Recurrence was observed in four patients.
Conclusions:
- The Karydakis surgery is presented as a preferred surgical technique for pilonidal sinus.
- The procedure is associated with notably low rates of complications and disease recurrence.

