Aim
The aim of this study was to determine the long and short term results of Karydakis flap technique retrospectively.
Material and Methods
A retrospective analysis was done in patients who were treated with Karydakis flap techniques between November 2008 and December 2012. Patients are evaluated in terms of age, sex, time of surgery, postoperative early period complication and recurrences.
Results
One hundred and forty-seven cases (79%) were male and 39 (21%) were female. The mean age was 26 ± 13 years. Mean operation time was 56 (38-76) minutes. Mean followup time was 24 (4-48) months. Four patients (2.1%) had recurrence in this time. The rates of postoperative complications as seroma, wound infection and flap ischemia are respectively 3 % (n=6), 1.6 % (n=3) and 0.53 % (n=1).
Conclusion
There isn’t any ideal treatment for pilonidal disease yet. This subject has controversies in actual surgery. There are different procedures, surgical and nonsurgical, for this disease. According to this study Karydakis flap technique, with low recurrence rate, is a good surgical procedure for the treatment of sacrococcygeal pilonidal disease.
Keywords: Pilonidal sinus, Karydakis, flap, recurrence