Abstract

Background: Pilonidal sinus disease is a soft tissue infection. It presents either acutely with abscess or the chronic form of sinus formation. The disease affects multiple body regions but the commonest is the sacrococcygeal region. There are different treatment strategies ranging from simple incision and drainage of an abscess to complex constructive procedures.

Objectives: The aim of this study is to share our experience and spotlight that the Karydakis procedure is as yet a legitimate and relatively simple effective treatment alternative for the non-specialized surgeon. Materials and Methods: In this retrospective study the management of patients presenting with sacrococcygeal pilonidal sinus disease to Khoula hospital (Oman) over a period of 10 years is analyzed. Data, being retrieved from the electronic patient’s records, covered the presentation, management, complications, and follow up.

Results: A total of 333 patients were included. The commonest presentation was of chronic sinus and the main procedure was the Karydakis operation (93.1%). Postoperative complications developed in 24.6% of all treated patients, and the recurrence rate was 4.5%.

Conclusion: The Karydakis operation is a relatively simple procedure to achieve cure in a reasonable time frame with acceptable risks of postoperative complications and recurrence.

Keywords: Advancement flap; Karydakis; Pilonidal; Recurrence