ABSTRACT

Long-term outcomes of patients who were treated by Karydakis procedure for sacrococygeal pilonidal sinus disease were reviewed.

Medical recordings of the patients who have been treated for sacrococcygeal pilonidal sinus disease between January 2007 and December 2009 were reviewed. Among those, the patients who had Karydakis procedure were called and were asked to answer a questionnaire that was prepared for assessing the rate of surgical site infection and recurrence.

Totally 221 patients were recruited to the study. Of these 221, 128 patients were reached, and answered the medical questions. The mean age and male-to-female ratio was 24.6 (16-62) and 6.9 (281/41), respectively. The mean length of hospital stay was 1.4 (1-5) days. The rate of surgical site infection and recurrence was 8% and 4.7%, respectively.

Karydakis procedure seems to offer comparable outcomes for the treatment of sacrococcygeal sinus disease. Therefore, the technique may be preferred as a first-line treatment procedure with the exception of complicated cases.

Keywords: Pilonidal sinus, Karydakis flap, surgical site infection, recurrence