Yildiz M Kamil, Ozkan Erkan, Odabaşı Hacı Mehmet, Kaya Bülent, Eriş Cengiz, Abuoğlu Hacı Hasan, Günay Emre, Fersahoglu Mehmet M, Atalay Süleyman
Department of 5th General Surgery, Istanbul Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey.
ScientificWorldJournal. 2013 May 14;2013:807027. doi: 10.1155/2013/807027. Print 2013.
The aim of this retrospective study was to evaluate the results of patients with sacrococcygeal pilonidal sinus who underwent surgery using the Karydakis technique.
Two hundred fifty-seven patients with sacrococcygeal pilonidal sinus disease were treated by the Karydakis flap procedure between December 2003 and June 2011. Patients were evaluated with respect to age, gender, preoperative symptoms, duration of preoperative symptoms, history of pilonidal sinus surgery, early postoperative complications, recurrence rates, and cosmetic satisfaction.
There were 223 (86.8%) male and 34 (13.2%) female patients. The mean age of the patients was 27.15 ± 7.69 years. The most frequent symptom was seropurulent discharge (57.58%). Postoperative morbidity was noted in 24 patients (9.3%). The mean hospital length of stay was 3.34 ± 1.42 days. The cosmetic satisfaction rate was 91.06%. Recurrences were noted in 6 patients (2.3%).
The Karydakis flap procedure is a safe treatment alternative for the surgical treatment of sacrococcygeal pilonidal sinus disease owing to the associated low complication rate, short hospital length of stay, rapid healing, and a high patient satisfaction rate.
本回顾性研究的目的是评估采用卡里达基斯技术进行手术的骶尾部藏毛窦患者的治疗结果。
2003年12月至2011年6月期间，257例骶尾部藏毛窦疾病患者接受了卡里达基斯皮瓣手术治疗。对患者进行了年龄、性别、术前症状、术前症状持续时间、藏毛窦手术史、术后早期并发症、复发率和美容满意度等方面的评估。
男性患者223例（86.8%），女性患者34例（13.2%）。患者的平均年龄为27.15±7.69岁。最常见的症状是脓性分泌物（57.58%）。24例患者（9.3%）出现术后并发症。平均住院时间为3.34±1.42天。美容满意度为91.06%。6例患者（2.3%）出现复发。
由于卡里达基斯皮瓣手术并发症发生率低、住院时间短、愈合快且患者满意度高，因此是骶尾部藏毛窦疾病手术治疗的一种安全选择。
