Authors: A P Wysocki
Publish Date: 2015/11/14
Volume: 19, Issue: 12, Pages: 753-755
Abstract
The incidence of pilonidal sinus disease is increasing 1 and surgery remains the main treatment strategy 2 The original Karydakis flap consisted of an elliptical semilateral excision of midline pits and the nearby secondary sinus A fullthickness flap was sutured to the sacrococcygeal fascia 3 Later Karydakis added a second layer of deep sutures 4 Kitchen proposed a thinner flap 5 Anderson’s experience with a slight modification of Kitchen’s modified Karydakis flap was that only 80 of wounds completely healed at 3week followup 6 The majority of the remaining patients developed a caudal superficial dehiscence which spontaneously healed Surprisingly none of the traditional factors were predictive of wound healing gender age social depravity index body mass index employment type cavity length cavity to anus distance ellipse dimensions ellipse to anus distance drain volume Reasons behind caudal wound dehiscence are thus unclear and could
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