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Complications And Recurrence After The Karydakis Flap Surgery
1Necmettin Erbakan University, Meram Medical Faculty, Department of General Surgery, Konya/TURKEY.
Insights
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.
Introduction:
Pilonidal sinus is a disease affecting young age group. Numerous surgical methods have been described in the treatment of pilonidal sinus disease. Currently, there is no treatment method providing a rapid recovery with low recurrence risk.
Aim:
In this study, we aimed to evaluate the results of our patients who underwent Karydakis surgery.
Material And Methods:
Results of 112 patients operated between 2012 and 2019 were retrospectively evaluated. Only the patients who underwent Karydakis surgery were included in the study.
Results:
Of all patients, 20 were female and 92 were male. The mean age was 21 years in the female and 20.8 years in the male patients. The mean BMI was 29.6 Kg/m2. Thye patients were followed up for mean 28 months. Postoperative length of stay in hospital was 2.1 days. The complications included wound dehiscence by 10.2%, infection by 3.6%, and bleeding (hematome) by 7.1%. Four patients developed recurrence during follow up.
Conclusion:
Karydakis surgery is a preferable surgical technique with low rates of complications and recurrence.
