Karydakis Flap
Off-midline asymmetric flap closure for pilonidal sinus — flattens the natal cleft and shifts the wound away from the midline, giving low recurrence and excellent healing.
What is Karydakis Flap?
The Karydakis Flap is a well-established off-midline technique for definitive pilonidal sinus treatment. The diseased tissue is excised in an asymmetric ellipse, and a flap of healthy tissue is mobilised and advanced to close the wound off the midline. By moving the wound away from the deep natal cleft, the technique significantly reduces the chance of recurrence and supports faster healing. Dr. Tejasree Vengala, an experienced female proctologist in Hyderabad, performs Karydakis flap at Lux Hospitals, Hyderabad, with attention to careful flap planning and durable closure.
How the Procedure Works
Anaesthesia & Planning
Surgery is performed under spinal or general anaesthesia. The diseased area is marked, with planned asymmetric ellipse.
Asymmetric Excision
The sinus and unhealthy tissue are excised in an asymmetric elliptical shape, off to one side of the midline.
Flap Mobilisation
A flap of healthy tissue is mobilised from the lateral side to allow tension-free off-midline closure.
Off-Midline Suturing
The flap is advanced and sutured in layers, placing the final scar off the midline groove.
Drain & Recovery
A small drain is placed if needed. Most patients are discharged the next day with structured wound care.
Outcomes
Who Needs This Treatment?
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Low recurrence rate due to off-midline closure
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Single-stage procedure with primary wound closure
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Faster healing compared to open techniques
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Definitive treatment for primary and recurrent disease
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Quick return to office work in 1–2 weeks
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Excellent functional and cosmetic outcome
Karydakis is a beautifully thought-out operation — the asymmetric design itself is the cure. By placing the scar off the midline, we let the body heal where it can, not where it cannot. It has stood the test of time for very good reasons.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Karydakis Flap Cost in Hyderabad
The cost of Karydakis flap surgery in Hyderabad depends on the extent and complexity of pilonidal disease, size and location of the sinus, number of tracts, recurrence, investigations required, and the care needed before and after surgery.
For patients requiring Karydakis flap surgery for suitable pilonidal sinus disease, the approximate cost ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Karydakis Flap | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, whether the disease is recurrent or complex, and whether any additional procedures are required.
Factors That Influence Karydakis Flap Cost
The overall cost may depend on:
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Extent of pilonidal disease: The size, number of sinus tracts, presence of infection or abscess, and whether the condition is recurrent may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If abscess drainage, sinus tract excision, or other procedures are required along with Karydakis flap surgery, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, dressing requirements, and follow-up visits may influence the final estimate.
Is Karydakis Flap Covered by Insurance?
Karydakis flap surgery may be covered by health insurance when it is performed for a medically necessary pilonidal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether Karydakis flap surgery is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.