Fascio‐Adipo‐Cutaneous Lateral Advancement Flap for Treatment of Pilonidal Sinus: A Modification of the Karydakis Operation—Cohort Study

Abo-Ryia, Mohammad Hamdy; Abdallah, Hamdy Sedky; Al-Shareef, Mahmoud M.; Abdulrazek, Mahmoud Mohammed

doi:10.1007/s00268-017-4406-8

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Karydakis published his series of 7471 patients treated with this technique in 1992, with a recurrence rate of less than 1% and wound complications in 8.5%. Recently published Karydakis recurrence rates vary between 0.2% and 11% …”

Section: Discussionmentioning

confidence: 99%

Karydakis procedure can be effectively performed in the lateral position

Robles

Seyfi

Zahid

et al. 2018

ANZ Journal of Surgery

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Background: Karydakis published a large pilonidal series in 1992, reporting a recurrence rate of less than 1% and complication rate of 8.5%. The aim of this study was to compare the outcomes of Karydakis procedure (KP) performed in the lateral versus the prone position in a consecutive series. Methods: Ninety-seven consecutive patients undergoing a KP between March 2000 and February 2018 were retrospectively assessed. Patients with disease sinuses or fistulas extending from the midline to either left or right sides only were considered for KP in the contralateral side position. Results: Surgery was carried out for primary pilonidal disease in 71 patients (73%) and for recurrent disease in 26 patients (27%). The majority (62%) of pilonidal tracts veered off from the midline to either the left or right side only. Wound complications, mostly minor skin separation, occurred in 37 patients (38%). Disease recurrence occurred in eight patients (8%). There was no difference between patients who had KP in a lateral position compared with those operated in a prone position regarding wound complications (41% versus 35%, P = 0.675), disease recurrence (9% versus 7%, P = 1.000), mean operating time (64.6 min versus 66.6 min, P = 0.259) and mean length of hospital stay (1 day for both groups). Conclusions: Pilonidal surgery in the lateral position has potential benefits for patient safety, patient comfort and theatre efficiency. The clinical results of this series show that the KP can be performed safely and effectively with the patient in the lateral position for most cases of pilonidal disease. © 2018 Royal Australasian College of Surgeons ANZ J Surg 89 (2019) E10-E14 ANZJSurg.com

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Section: Discussionmentioning

confidence: 99%

Karydakis procedure can be effectively performed in the lateral position

Robles

Seyfi

Zahid

et al. 2018

ANZ Journal of Surgery

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“…Postoperatively, we place a simple dressing and review routinely in the clinic setting. The majority of LFPs were performed as adiposal lateral aps (11,12) with the remainder as Bascom aps [3] or Limberg aps [4], with similar post-operative follow-up to patients receiving PEF.…”

Section: Methodology Study Designmentioning

confidence: 99%

Pit excision with fibrin glue closure versus lateralizing flap procedures in the management of pilonidal sinus disease in adolescents: a 14-year cohort study

Giles,

Murthi,

Lindley

2024

Pediatr Surg Int

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“…Surgerywas performed as an inpatient procedure with a hospital stay of between 1 and 3 days with a 1% recurrence rate. Many others have published their results since, with good outcomes [16][17][18][19][20][21][22][23]. The operation has also been performed as a day case [24].…”

Section: Karydakis Operationmentioning

confidence: 99%

Out of the midline—cleft lift, advancement and rotation procedures

Senapati

2019

coloproctology

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Surgery is usually necessary to treat symptomatic pilonidal disease. However, some operations have the propensity to make the patient worse. Uncomplicated disease should therefore be treated by operations that excise the pits rather than excisional surgery. More complex disease, however, cannot be treated by these techniques. It has been shown in many publications that off-or out-of-midline closures have better outcomes than midline closures and wounds. Descriptions and results of these procedures are described. Midline wounds should be abandoned in favour of off-midline closures.

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Fascio‐Adipo‐Cutaneous Lateral Advancement Flap for Treatment of Pilonidal Sinus: A Modification of the Karydakis Operation—Cohort Study

Abstract: This modification is simple with low complication rate, no recurrence, and excellent patient satisfaction.

Cited by 7 publications

References 28 publications

Karydakis procedure can be effectively performed in the lateral position

Karydakis procedure can be effectively performed in the lateral position

Pit excision with fibrin glue closure versus lateralizing flap procedures in the management of pilonidal sinus disease in adolescents: a 14-year cohort study

Out of the midline—cleft lift, advancement and rotation procedures

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