Kitchen P R
Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
Br J Surg. 1996 Oct;83(10):1452-5. doi: 10.1002/bjs.1800831040.
A personal series of 141 patients with postanal pilonidal sinus was treated by the Karydakis operation. Each sinus was totally excised with a vertical eccentric elliptical excision. A thick flap was created by undercutting the medial edge and advancing it across the midline so that the whole suture line was lateralized to reduce the risk of recurrence. Follow-up was achieved in 114 patients for 1-108 months; 79 (69 per cent) were followed for more than 18 months. Overall there were five recurrences (4 per cent) which required further surgery. Thirty-three patients (23 per cent) were referred following recurrence or failure of healing after previous surgery elsewhere; all were cured by this method. The Karydakis operation has a low recurrence rate because it produces a shallow midline furrow free from scar or suture holes which is less vulnerable to hair penetration than a midline wound.
对141例藏毛窦患者采用Karydakis手术进行治疗。每个窦道均采用垂直偏心椭圆形切除术完整切除。通过将内侧边缘潜行分离并将其推进至中线对侧，形成一个厚皮瓣，使整个缝合线位于外侧，以降低复发风险。114例患者获得随访，随访时间为1至108个月；其中79例（69%）随访时间超过18个月。总体上有5例复发（4%），需要进一步手术治疗。33例患者（23%）因先前在其他地方手术复发或愈合失败而前来就诊；所有患者均通过该方法治愈。Karydakis手术复发率低，因为它产生的中线浅沟没有瘢痕或缝线孔，比中线伤口更不易被毛发穿透。
