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Choosing the correct side for Karydakis flap.

Colorectal Disease 2008 November
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.

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