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Operation according to Karydakis

  1. Planning of Resection

    Video
    Planning of Resection
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    The technique is demonstrated using a chronically recurrent pilonidal sinus. First, the resection margins are determined. The dashed lines correspond to the highest point of each buttock. The incision should be oval, eccentric to the midline, and encompass the entire fistula system. The central axis of the incision should be approximately 2cm lateral to the midline.

Skin Incision

The tissue to be removed is incised. Since this operation always tends to bleed due to the chronic

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general and visceral surgery

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