Adnan Aziz, Irfan Sattar, Syed Muhammad Raza, Asad Ullah Khan.
Experience of Karadykis procedure in the treatment of pilonidal sinus.
J Surg Pak Jan ;11(2):76-8.

Objective: To evaluate the advantages of karydakis procedure for the treatment of the pilonidal sinus Study Design: Interventional study Place and Duration: The study was conducted in surgical unit 1(ward 3), Jinnah Post Graduate Medical Center, Karachi from January 2001 to December 2004. Patient and Methods: In this study we enrolled 100 adult patients who presented with pilonidal sinus. All the patients where evaluated by through history, physical examination and were investigated before undergoing primary asymmetrical closure of pilonidal sinus by a procedure describe by Karadykis. Results: In this study average age of patients was 28 years. Male female ratio was 10:1. Most of the patients were hairy 81% and over weight 85%. Single sinus opening present in the midline of natal cleft in 69% patients. Results showed uneventful recovery in 93% patients, postoperative wound infection in four patients 4%, seroma formation and recurrence in three patient 3%. Average hospital stay was 4 days. Conclusion: Experience of karydakis procedure in the treatment of pilonidal sinus is worth adopting and sharing with others, with all its advantages, as with this procedure patient has short hospital stay, early wound healing and less postoperative complications.

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