Karydakis

Karydakis is a surgical technique utilized in the treatment of pilonidal sinus disease, a condition characterized by the formation of a sinus or cyst near the tailbone due to hair and debris infiltration. Developed in the 1990s by Greek surgeon Georgios Karydakis, this procedure aims to reduce recurrence rates and improve wound healing outcomes.

The Karydakis procedure involves excising the pilonidal sinus and surrounding tissue, followed by asymmetric suture closure. The technique emphasizes lateralization of the scar away from the midline, which is believed to decrease the tension on the wound and minimize the risk of recurrent sinus formation. The procedure often involves creating a flap to close the wound, effectively flattening the natal cleft and reducing hair entrapment.

Advantages of the Karydakis method include shorter healing times, lower recurrence rates, and reduced postoperative pain compared to traditional midline closure techniques. Additionally, the lateral scar placement results in less wound breakdown and infection. It is generally performed under local anesthesia and can be executed as an outpatient procedure.

While considered effective, the success of the Karydakis procedure depends on proper patient selection and adherence to postoperative care instructions, including hair removal and wound management. Complications are uncommon but may include wound infection, dehiscence, or recurrence of the sinus.

Overall, the Karydakis technique is regarded as a standard approach in surgical management of pilonidal disease, offering a balance of efficacy and minimal invasiveness. It has contributed significantly to the evolution of minimally invasive surgical strategies for this common condition.