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Karydakis procedure for sacrococcygeal pilonidal sinus disease: Our experience.
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Karydakis flap versus excision-only technique in pilonidal disease.
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Standard excision methods typically remove the affected sinus but do not pull skin folds over the wound area for healing. Reviews have shown that the Karydakis flap procedure results in lower rates of pilonidal disease recurrence and complication than standard excision methods. From this cut, the surgeon then pulls the skin over the original sinus area and sews it down. The Karydakis flap procedure involves surgically removing affected sinus tissue and creating a vertical incision to one side of the original opening. This procedure typically takes place under general anesthesia and is one of the most effective surgical interventions for pilonidal disease. They will then create an incision in the surrounding buttock area and pull a fold, or flap, of skin over the initial sinus site. Limberg flapĭuring a Limberg flap operation, a doctor will make a rhomboid-shaped incision over the sinus and remove all affected tissue from the area. Learn more about marsupialization procedures here. This marsupialization procedure allows fluid to drain easily from the area and can make cysts less likely to return.
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Once they have incised and drained the cyst, a medical professional may sew the open edges together to form a small pouch. The doctor may also choose to seal the area with stitches. They will then pack the wound with gauze. In this procedure, a doctor will remove any hair or hair follicles from the cyst and drain any fluid. Incision and drainageĪ common treatment method for pilonidal cysts and abscesses is incision and drainage. A medical professional will typically treat all forms of pilonidal disease, including pilonidal cysts, through surgery.
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