title: Karydakis procedure for sacrococcygeal pilonidal sinus disease: Our experience.
abstract: OBJECTIVE
  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.
  
  
  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.
  
  
  CONCLUSIONS
  Karydakis flap procedure is a relatively simple procedure for SPSD with reproducible low recurrence rates.
authors.affiliation: Department of General Surgery, St. Martha's Hospital, Bengaluru, Karnataka, India.
authors.forename: N Arun
authors.initials: NA
authors.lastname: Kumar
authors.affiliation: Department of General Surgery, St. Martha's Hospital, Bengaluru, Karnataka, India.
authors.forename: Prasenjit
authors.initials: P
authors.lastname: Sutradhar
keywords: Complications; Karydakis flap repair; recurrence; sacrococcygeal pilonidal sinus disease