Complications - Operation according to Karydakis

Incomplete Resection

• Recurrence inevitable

Excessive Resection

• Issue of primary closure without tension, possibly rotational flap plasty e.g., according to Limberg

Wound Dehiscence

→ Reduction of tension on soft tissues through possible flap plasty, patient behavior guidelines

Wound Infection

→ Reopening of the wound, secondary healing through wound care

Abscess

→ Radical excision of all inflammatory tissue, postoperative antibiotics (anaerobes)

Bleeding/Hematoma

→ Subtle hemostasis

Recurrence

→ Pilonidal sinus is a condition prone to recurrence. None of the known surgical procedures can guarantee freedom from recurrence. Optimization of personal hygiene, regular hair removal (controversial), change of surgical strategy.

Cosmetically Disturbing Changes in the Gluteal Region

→ Counseling, avoidance of sutures under tension