Karydakis Flap: A preferred procedure for Sacrococcygeal Pilonidal Sinus Disease (SPNSD).


  • Durr-I- Chaman FMU.
  • Tayyaba Fatima FMU.
  • Muhammad Akram FMU.
  • Bashir Ahmed FMU.
  • Sajid Rehman FMU.
  • Muhammad Sajid Sheikh FMU.




Complications, Karydakis Flap, Recurrence, Sacrococcygeal Pilonidal Sinus Disease


Objectives: To evaluate patients with SPNSD who underwent Karydakis Flap procedure with reference to operative time, drain removal time, hospital stay, complications and recurrence rate. Study Design: Prospective study. Setting: Surgical Department of Allied Hospital, Faisalabad. Period: September 2009 to January 2018. Material & Methods: A total of 117 patients underwent Karydakis Flap procedure. Data was collected according to the above said parameters .Patients were followed up for 12 months. Results:  The operative time was 35.5 minutes. Average Hospital stay was 2 days. Drain removed at median of 8 days.17 patients (14%) developed seroma. Wound Infection occurred in 5 patients (4%). Wound burst opened in 1 patient (0.8%).No recurrence was noted (0%) in any patient during a follow up of 1 year. Conclusion: Karydakis Flap procedure is a relatively simple and easy technique with minimal chances of recurrence.

Author Biographies

Durr-I- Chaman, FMU.

MBBS, FCPS (Surgery)

Assistant Professor Surgical Unit II


Tayyaba Fatima, FMU.

MBBS, FCPS (Surgery)

Senior Registrar Surgical Unit II


Muhammad Akram, FMU.

MBBS, FCPS (Surgery)

Associate Professor Surgical Unit II


Bashir Ahmed, FMU.

MBBS, FCPS (Surgery)

Assistant Professor Surgical Unit II


Sajid Rehman, FMU.

MBBS, FCPS (Surgery)

Assistant Professor Surgical Unit II


Muhammad Sajid Sheikh, FMU.

MBBS, FCPS (Surgery)

Professor Surgery Incharge Surgical Unit II