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Published byDeniz Birdal Modified over 6 years ago
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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 (January 2012) DOI: /j.ijsu Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 1 Modified Karydakis procedure asymmetric incision marked with line and flap marked with arrows. International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 2 Modified Karydakis procedure an asymmetric eliptical excision.
International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 3 Modified Karydakis procedure. Fasciocutan flap and musculus gluteus maximus. International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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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 , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 5 Modified Karydakis procedure. After healed.
International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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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 , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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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 , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 8 MLF transposition. Fasciocutan flap transposed medially to fulfill the rhomboid defect. International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 9 MLF transposition after drain replaced.
International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 10 MLF after skin was closed with skin staples.
International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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Fig. 11 MLF after healing. International Journal of Surgery , DOI: ( /j.ijsu ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions
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