Choosing the correct side for Karydakis flap.

OBJECTIVE

Choosing the correct side for Karydakis flap in treatment of pilonidal disease in certain cases.

METHOD: When the cyst or diseased tissues appear deep into the opposite side it may create some annoying problems, like too thin skin edge, dead space and wound failure. Herein, a simple modification of skin incision marking to over-come this potential problem is described.

CONCLUSION

This simple technical offer could be useful when dealing with sacrococcygeal pilonidal disease in daily surgical practice.