The Management of Pilonidal Sinus - PMC - National Center for ...
In 1973, Karydakis reported in The Lancet on a new treatment for pilonidal disease involving an asymmetrical, elliptical incision. A subcutaneous flap is mobilized from across the midline and used to close the wound primarily, lateral to the natal cleft ( figure 4 ).
In 1973, the late Dr. George Karydakis, in Greece, published his experience with a simple and successful operation to cure Pilonidal Sinus,1 and later presented the largest personal series in the world.2 He excised the sinus with a simple biconvex ‘elliptical’ excision only just crossing the midline to excise the sinus.
Karydakis flap procedure for pilonidal sinus - 1. Planning ...
Karydakis flap procedure for pilonidal sinus - 1. Planning the resection - YouTube. The technique is demonstrated on a chronic recurrent pilonidal sinus.First, define the resection margins. The...
The classic Karydakis flap consists of an oblique elliptical excision of diseased tissue with fixation of the flap base to the sacral fascia (Figures 4 and 5).
Surgical procedures in the pilonidal sinus disease: a ...
Aug 13, 2020 · The off-midline approach was firstly published by George Karydakis as he proposed a simple lateral flap advancement technique later known as Karydakis flap 61, which keeps the scar off the midline and flattens the natal cleft.
Pilonidal sinus: an overview of historical and current ...
Mar 25, 2024 · Karydakis described a method of excision wherein the skin and underlying tissues are fashioned into a flap and advanced across the midline raphe. An elliptical excision is made with the vertices positioned 2 cm lateral to the midline natal cleft, ensuring that the sinus tracts and underlying cavity are included and excised completely [ 35 ].
Karydakis flap procedure for pilonidal sinus - webop
Mar 27, 2013 · Karydakis flap procedure for pilonidal sinus - Planning the resection - Skin incision - En-bloc excision - Mobilizing the skin flap with fat - Wound closure.