title: Karydakis flap procedure in patients with sacrococcygeal pilonidal sinus disease: experience of a single centre in Istanbul.
abstract: BACKGROUND
  The aim of this retrospective study was to evaluate the results of patients with sacrococcygeal pilonidal sinus who underwent surgery using the Karydakis technique.
  
  
  METHODS
  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.
  
  
  RESULTS
  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%).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of 5th General Surgery, Istanbul Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey. mehmetkamilyildiz@yahoo.com
authors.forename: M Kamil
authors.initials: MK
authors.lastname: Yildiz
authors.forename: Erkan
authors.initials: E
authors.lastname: Ozkan
authors.forename: Hacı Mehmet
authors.initials: HM
authors.lastname: Odabaşı
authors.forename: Bülent
authors.initials: B
authors.lastname: Kaya
authors.forename: Cengiz
authors.initials: C
authors.lastname: Eriş
authors.forename: Hacı Hasan
authors.initials: HH
authors.lastname: Abuoğlu
authors.forename: Emre
authors.initials: E
authors.lastname: Günay
authors.forename: Mehmet M
authors.initials: MM
authors.lastname: Fersahoglu
authors.forename: Süleyman
authors.initials: S
authors.lastname: Atalay
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000401:mortality* / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality*; D015995:Prevalence; D012189:Retrospective Studies; D012445:Sacrococcygeal Region / Q000601:surgery; D013524:Surgical Flaps / Q000706:statistics & numerical data*; D015996:Survival Rate; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology