Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Protocol Volume 4 Issue 7

Karydakis Flap Reconstruction for Pilonidal Disease

Aybala Yildiz1, Alp Yildiz1*, Veysel Baris Turhan2, Engin Kucukdiler3 and Erkan Karacan3

1Department of General Surgery, Yenimahalle Training and Research Hospital, Yildirim Beyazıt University, Ankara, Turkey
2Department of General Surgery, Kecioren Training and Research Hospital, Ankara, Turkey
3Department of General Surgery, Aydin State Hospital, Aydin, Turkey

*Corresponding Author: Alp Yildiz, Department of General Surgery, Yenimahalle Training and Research Hospital, Yildirim Beyazıt University, Ankara, Turkey.

Received: May 08, 2020; Published: June 22, 2020



The reported incidence rate of pilonidal disease is 25 per 100,000 people. Initially, the pathogenesis was considered to be congenital. Today, however, the theory that it is acquired is more widely accepted. Work by Georgios Karydakis who highlighted 3 main factors contributing to pilonidal disease had a pivotal role in this paradigm shift. As the primary treatment still surgery, we present our karydakis flap experience in this study. Fourty-four patients has enrolled for this study. All patients has diagnosed pilonidal sinus disease and treated by the same surgical team with Karydakis flap reconstruction. The most common post-operative complication was fluid collection. 2 patients developed fluid collection under the flap site which reduce spontaneously. No hemorrhagia has occurred. 1 patient developed wound infection. No hematoma, bleeding occurred and no need for secondary powder application. No flap necrosis occurred, also wound dehiscence and early recurrence were not found. When low recurrence rates, patient comfort and cosmetic results are evaluated together, Karydakis technique emerges a method that is preferred by physicians and patients.

Keywords: Pilonidal Disease; Karydakis Flap; Complications



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Citation: Alp Yildiz., et al. “Karydakis Flap Reconstruction for Pilonidal Disease".Acta Scientific Medical Sciences 4.7 (2020): 44-46.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

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