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

×

Abstract

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

×

References

  1. Gavriilidis P and Bota E. “Limberg flap versus Karydakis flap for treating pilonidal sinus disease: a systematic review and meta-analysis”. Canadian Journal of Surgery 2 (2019): 131‐138.
  2. Hodges RM. “Pilonidal sinus”. Boston Medical and Surgical Journal 103 (1880): 485-486.
  3. Karydakis GE. “New approach to the problem of pilonidal disease”. Lancet 7843 (1973): 1414-1415.
  4. Karydakis GE. “Easy and successful treatment of pilonidal sinus after explanation of its causative process”. ANZ Journal of Surgery 5 (1992): 385-389.
  5. Armstrong JH and Barcia PJ. “Pilonidal sinus disease. The conservative approach”. Archives of Surgery 9 (1994): 914-917.
  6. Alvandipour M., et al. “Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients with Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study”. Annals of Coloproctology 6 (2019): 313‐318.
  7. Khanna A and Rombeau JL. “Pilonidal disease”. Clinics in Colon and Rectal Surgery 1 (2011): 46-53.
  8. Humphries AE and Duncan JE. “Evaluation and management of pilonidal disease”. Surgical Clinics of North America 1 (2010): 113-124.
  9. Oncel M., et al. “Excision and marsupialization versus sinus excision for the treatment of limited chronic pilonidal disease: a prospective, randomized trial”. Techniques in Coloproctology 3 (2002): 165-169.
  10. Bascom J. “Pilonidal disease: long-term results of follicle removal”. Diseases of the Colon and Rectum 12 (1983): 800-807.
  11. Bali İ., et al. “Effectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease”. Clinics (Sao Paulo)5 (2015): 350‐355.
  12. Erkent M., et al. “Comparison of Primary Midline Closure, Limberg Flap, and Karydakis Flap Techniques in Pilonidal Sinus Surgery”. Medical Science Monitor 24 (2018): 8959‐8963.
×

Citation

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



Member In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 15, 2020.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US