![]() ![]() ![]() Many others have published their results since, with good outcomes. Surgery was performed as an inpatient procedure with a hospital stay of between 1 and 3 days with a 1% recurrence rate. A total of 7471 cases were described by Karydakis, and there has been a 2–20-year long-term follow-up of these patients. The thick flap thus created is sutured to the deep fascia and then closed to one side of the midline. Here, a wide excision of the disease is made using an elliptical asymmetric excision down to the deep fascia. The best-known off-midline closure technique is the Karydakis operation ( Fig. ![]()
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