用于骶尾部藏毛窦疾病的卡里达基斯手术：我们的经验。
Karydakis procedure for sacrococcygeal pilonidal sinus disease: Our experience.
作者信息
Kumar N Arun, Sutradhar Prasenjit
机构信息
Department of General Surgery, St. Martha's Hospital, Bengaluru, Karnataka, India.
出版信息
Indian J Plast Surg. 2014 Sep-Dec;47(3):402-6. doi: 10.4103/0970-0358.146615.
AIM
The purpose of this study was to evaluate patients with sacrococcygeal pilonidal sinus disease (SPSD) who underwent Karydakis procedure at our centre with reference to the perioperative findings, early and late postoperative results and recurrence.
MATERIALS AND METHODS
A total of 103 patients presenting with SPSD at our centre underwent Karydakis flap repair from January 2001 to December 2010. These patients were then followed-up and evaluated with respect to operative time, drain use, hospital stay, suture removal, complications, and recurrence.
RESULTS
The mean operative time was 74.9 min with a median hospital stay of 5 days. Drains were removed at a median of 7 days and sutures at a median of 15 days. Twenty-one patients presented with serous collection in the wound. Six patients had wound infection. Patients were followed-up for a median of 29 months. No recurrences were noted in any of the cases.
CONCLUSION
Karydakis flap procedure is a relatively simple procedure for SPSD with reproducible low recurrence rates.
目的
本研究旨在评估在我们中心接受卡里达基斯手术的骶尾部藏毛窦疾病（SPSD）患者的围手术期情况、术后早期和晚期结果以及复发情况。
材料与方法
2001年1月至2010年12月期间，共有103例在我们中心就诊的SPSD患者接受了卡里达基斯皮瓣修复术。然后对这些患者进行随访，并评估手术时间、引流管使用情况、住院时间、缝线拆除情况、并发症及复发情况。
结果
平均手术时间为74.9分钟，中位住院时间为5天。引流管中位拔除时间为7天，缝线中位拆除时间为15天。21例患者伤口出现浆液性积液。6例患者伤口感染。患者中位随访时间为29个月。所有病例均未发现复发。
结论
卡里达基斯皮瓣手术是一种治疗SPSD的相对简单的手术，复发率低且可重复。
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