There are also references to a Karydakis flap and Karydakis operation. Here is a description of the technique:
quote:
Pilonidal sinus: excision and primary closure with a lateralised wound - the Karydakis operation.Kitchen PR
In a personal series, forty-five patients with postanal pilonidal sinus have been treated by the Karydakis operation. The sinus is excised using an eccentric elliptical incision, the medial edge of which is undermined and advanced across the midline to produce a lateral vertical scar and shallower natal cleft.
AND
Pilonidal sinus: experience with the Karydakis flap.
Kitchen PR
Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
A personal series of 141 patients with postanal pilonidal sinus was treated by the Karydakis operation. Each sinus was totally excised with a vertical eccentric elliptical excision. A thick flap was created by undercutting the medial edge and advancing it across the midline so that the whole suture line was lateralized to reduce the risk of recurrence
Here is a brief note by Dr. Karydakis (which confirms the fact that this is named after a doctor and should be initial-capped):
quote:
Easy and successful treatment of pilonidal sinus after explanation of its causative process.Karydakis GE
Hair insertion causes pilonidal sinus, it prevents spontaneous recovery, delays healing of any wound in the depth of the natal cleft, and is the cause of recurrence. An understanding of the hair insertion process made it possible to avoid hair insertion in 6545 cases of the condition with the use of the advancing flap operation. Results have proved this to be an easy and successful way of treating and preventing recurrence of pilonidal sinus. Furthermore, that understanding has introduced the possibility of preventing pilonidal sinus, through ways simpler than the simplest operation.
Ar
[This message has been edited by Arleen (edited September 14, 1999).]
