Bessa Samer S
Department of General Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Dis Colon Rectum. 2007 Nov;50(11):1935-40. doi: 10.1007/s10350-007-9049-7. Epub 2007 Sep 8.
The Karydakis procedure is one of the asymmetric flap techniques used in the treatment of sacrococcygeal pilonidal sinus disease. The procedure consists of an asymmetrical elliptical excision, mobilization of the flap from the median side of the wound, fixation of the base of the flap to the sacrococcygeal fascia, and suturing of its edge to the lateral one. A modification of the original technique consisting of unfixing the base of the flap to the sacrococcygeal fascia with the purpose of flattening the natal cleft has been applied and its results evaluated.
The present study included 82 consecutive patients. Data concerning age, gender, body mass index, duration of complaint, findings at presentation, and previous surgical treatment were obtained. The modified technique was applied in all patients. The postoperative complications and hospital stay were recorded. Patients were followed up by physical examination to detect recurrence.
The hospital stay was two days for all patients. Postoperative complications were encountered in six patients (7.3 percent). Wound infection was encountered in four patients (4.9 percent), and subcutaneous fluid collections were encountered in two patients (2.4 percent). No recurrences were encountered throughout the 20 +/- 6.8 months mean follow-up duration.
The low complication rate, short hospital stay, short healing time, high degree of patient satisfaction, and absence of recurrence render the present modified technique a viable option in the management of sacrococcygeal pilonidal sinus disease.
卡里达基斯手术是用于治疗骶尾部藏毛窦疾病的不对称皮瓣技术之一。该手术包括不对称椭圆形切除、从伤口正中侧掀起皮瓣、将皮瓣基部固定于骶尾筋膜以及将其边缘缝合至外侧。已应用一种对原始技术的改良方法，即松开皮瓣基部与骶尾筋膜的固定以 flattening the natal cleft（此处可能有拼写错误，推测为“使臀沟变平”之类的意思），并对其结果进行了评估。
本研究纳入了连续的82例患者。获取了有关年龄、性别、体重指数、主诉持续时间、就诊时的发现以及既往手术治疗的资料。所有患者均采用改良技术。记录术后并发症及住院时间。通过体格检查对患者进行随访以检测复发情况。
所有患者的住院时间均为两天。6例患者（7.3%）出现术后并发症。4例患者（4.9%）出现伤口感染，2例患者（2.4%）出现皮下积液。在平均20±6.8个月的随访期内未发现复发情况。
低并发症发生率、短住院时间、短愈合时间、高患者满意度以及无复发情况使得目前的改良技术成为骶尾部藏毛窦疾病治疗的一个可行选择。
