Pilonidal Sinus
Karydakis Procedure
The Karydakis asymmetric closure technique involves excising the pilonidal sinus and closing the wound off-midline, effectively flattening the natal cleft and eliminating the environment that promotes recurrence. This procedure offers excellent healing rates and is Dr. Adarsh, based in Bangalore,'s preferred technique for primary pilonidal disease.
About Karydakis Procedure
The Karydakis procedure is an asymmetric closure technique for pilonidal sinus excision. The sinus is excised with an eccentric elliptical incision, and the wound is closed off-midline by advancing a flap of tissue. This shifts the suture line away from the midline natal cleft, significantly reducing recurrence. Dr. Adarsh performs this for moderate pilonidal disease as a reliable alternative to flap procedures.
Signs & Symptoms
Moderate pilonidal sinus disease
First recurrence after primary closure
Patients wanting definitive treatment with primary closure
Sinus not suitable for minimally invasive approaches
Treatment Approaches
Karydakis Asymmetric Closure
Modified Karydakis Technique
Why Choose This Approach
Benefits of Treatment
Off-midline closure reduces recurrence to 1-4%
Simpler than Limberg flap with similar outcomes
Primary wound closure
Shorter operative time than flap procedures
Good cosmetic outcome
Recovery Timeline
Same-day or next-day discharge.
Limited sitting. Wound care.
Sutures removed. Light activities.
Resume all activities.
Why Choose Dr. Adarsh for Karydakis Procedure?
Expert Surgeon in Bangalore
Over 20+ years of experience performing karydakis procedure procedures in Bangalore with excellent outcomes. Fellowship-trained in Belgium and Boston University, USA.
Faster Recovery
Minimally invasive techniques mean less pain, smaller scars, and quicker return to normal activities.
Advanced Technology
Access to the latest laparoscopic, robotic, and laser surgical equipment at Apollo Clinic, Indiranagar, Bengaluru.
Personalized Care
Every patient across Bangalore receives a customized treatment plan based on their specific condition and health goals.
Common Questions
Frequently Asked Questions
Related Procedures
Explore other pilonidal sinus procedures offered by Dr. Adarsh.
Book Your Karydakis Procedure Consultation
Discuss your karydakis procedure treatment options with Dr. Adarsh M. Patil at Apollo Clinic, Indiranagar, Bengaluru. Get a personalized assessment and transparent cost estimate.