SACROCOCCYGEAL PILONIDAL SINUS : TREATMENT BY ASYMMETRIC EXCISION UNDER LOCAL ANESTHESIA
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A great variety of procedures have been proposed for the cure of sacrococcygeal pilonidal disease. Karydakis in 1992 puplished the largest series in the literatures and argued for a technique that prevents recurrence as well as curing the presenting condition. A total of 62 patients, 51 men & 11 women with a mean age of 27.1 years were operated upon using Karydalcis technique with some modifications. The procedure consists of an eccentric elliptical excision of the affected tissue, mobilization of the flap to the sacrococcygeal fascia and suturing of its edge to the lateral one. The overall complication rate was 3.2%, the mean hospital stay was 2.8 days, the mean healing time was 11.3 days and the mean time off work was 12.2 days. No recurrences were noted by follow up period of 2.1 years (range 3 _32 months).