Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery Turgut Karaca, Ömer Yoldaş, Bülent.

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Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery Turgut Karaca, Ömer Yoldaş, Bülent Çağlar Bilgin, Saadet Özer, Suna Yoldaş, Nihal Gördesel Karaca International Journal of Surgery Volume 10, Issue 10, Pages 601-606 (January 2012) DOI: 10.1016/j.ijsu.2012.10.001 Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 1 Modified Karydakis procedure asymmetric incision marked with line and flap marked with arrows. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 2 Modified Karydakis procedure an asymmetric eliptical excision. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 3 Modified Karydakis procedure. Fasciocutan flap and musculus gluteus maximus. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 4 Reconstruction using Modified Karydakis flap with an eventual closure line 2 cm lateral to the midline, especially at the lower end. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 5 Modified Karydakis procedure. After healed. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 6 The rhomboid flap reconstruction was modified by tailoring the rhomboid excision asymmetrically to place the lower pole of the flap 1–2 cm lateral to the inferior midline (marked with line). Orginal rhomboid flap reconstruction, lower pole of the flap on the inferior midlne (marked with dotted line). International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 7 MLF transposition. Rhomboid excision of the diseased tissue followed by preparation of the flap on the right gluteal area. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 8 MLF transposition. Fasciocutan flap transposed medially to fulfill the rhomboid defect. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 9 MLF transposition after drain replaced. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 10 MLF after skin was closed with skin staples. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 11 MLF after healing. International Journal of Surgery 2012 10, 601-606DOI: (10.1016/j.ijsu.2012.10.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions