Study on Outcome of Karydakis Procedure in the Management of Intergluteal Pilonidal Sinus Disease

ABSTRACT

Introduction: Pilonidal sinus is a cavity in the subcutaneous tissue lined by granulation tissue that contains hair and communicates with the surface by a track which is lined usually by squamous epithelium and continuous with the epidermis. It mainly affects the intergluteal furrow. Materials and Methods: It is a hospital-based descriptive study conducted in the Department of General Surgery, Sree Gokulam Medical College and Research Foundation from February 2017 to November 2018. Patients with clinically diagnosed pilonidal sinus disease admitted in the Surgery Department, Sree Gokulam Medical College and Research Foundation. Results: A total of 140 patients were evaluated postoperatively and for a mean period of 12 months (range 6–18 months), every 3 months during their review visit or over phone. Mean operative time was 54.3 min with a median hospital stay of 5 days. Postoperative pain lasted for a median duration of 2 days. Drains were removed at a median of 3 days and sutures at a median of 7 days. Three patients presented with serous wound collection and 12 patients presented with wound dehiscence. Conclusion: Karydakis flap procedure is a safe surgical treatment for sacrococcygeal pilonidal sinus disease due to the associated low complication rate, short hospital length of stay, rapid healing, and a high patient satisfaction rate.