Óscar Álvarez-López, Cirugía General, Hospital General de Occidente, Zapopan, Jalisco, México
Korel A. Hernández, Cirugía General, Hospital General de Occidente, Zapopan, Jalisco, México
Manuel Centeno, Cirugía General, Hospital General de Occidente, Zapopan, Jalisco, México
Miriam M. Zambrano, Coloproctología, Hospital General de Occidente, Zapopan, Jalisco, México
Objective: To evaluate patients diagnosed with pilonidal disease, a common condition in young individuals that affects the sacrococcygeal area, who were surgically treated using the Karydakis technique at our center. Method: A total of 48 patients were treated using the Karydakis technique at the Hospital General de Occidente from January 2017 to December 2025. Follow-up was conducted through medical records to assess operative time, hospital stay, complications, and recurrences. Results: Delayed wound healing occurred in 20.8%, 16.6% developed a seroma, and 12.5% had wound dehiscence. Mean operative time was 46.06 ± 17.25 minutes; an association between delayed wound healing and operative time of 60 minutes or more was observed (p = 0.003). Patients were followed for a mean of 41 months, with recurrence observed in one case (2.27%). Conclusions: The Karydakis procedure is a safe, reproducible, and low-recurrence option for the treatment of pilonidal disease.
Keywords: Pilonidal sinus. Karydakis flap. Recurrence.