Limberg Flap Procedure for Sacrococcygeal Pilonidal Sinus
- 1. Assistant Professor, Department of General Surgery, PDU Medical College Churu Rajasthan
- 2. Senior Specialist, Department of General Surgery, PDU Medical College Churu Rajasthan
Description
Background: Sacrococcygeal pilonidal sinus is a common and morbid disease associated with high recurrence rate after surgery. Many conventional surgical procedures have been described for its management with their merits and demerits. The present study aims to evaluate the efficacy and complications of Limberg flap reconstruction surgery. Methods: This hospital based prospective study was conducted on 30 consecutive patients with pilonidal sinus disease attending Surgery Department. Results: All patients were followed up initially at 2-week interval, then at 1 month and again at six months. Four patients (13.33%) developed complications two (6.67%) had seroma formation, 1 (3.33%) had flap necrosis and the other 1 (3.33%) had superficial surgical site infection. Conclusion: Limberg flap for reconstruction of the defect after excision of recurrent sacrococcygeal pilonidal sinus is an effective and reliable technique, easily performed, subjectively high patient satisfaction, associated with complete cure and low incidence of post-operative complications.
Abstract (English)
Background: Sacrococcygeal pilonidal sinus is a common and morbid disease associated with high recurrence rate after surgery. Many conventional surgical procedures have been described for its management with their merits and demerits. The present study aims to evaluate the efficacy and complications of Limberg flap reconstruction surgery. Methods: This hospital based prospective study was conducted on 30 consecutive patients with pilonidal sinus disease attending Surgery Department. Results: All patients were followed up initially at 2-week interval, then at 1 month and again at six months. Four patients (13.33%) developed complications two (6.67%) had seroma formation, 1 (3.33%) had flap necrosis and the other 1 (3.33%) had superficial surgical site infection. Conclusion: Limberg flap for reconstruction of the defect after excision of recurrent sacrococcygeal pilonidal sinus is an effective and reliable technique, easily performed, subjectively high patient satisfaction, associated with complete cure and low incidence of post-operative complications.
Files
IJPCR,Vol16,Issue2,Article203.pdf
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Additional details
Dates
- Accepted
-
2024-02-18
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article203.pdf
- Development Status
- Active
References
- 1. Kratzer G.L.: Pilonidal disease. Of Man Colon Rectal. Dis. 1985; 10: 125 2. Allen-Mersh T.G.: Pilonidal sinus: finding the right track of treatment. Br.J. Surg. 1990; 77: 123–132 3. James Bagot Oldham, 1899-1977, surgeon the united Liverpool Hospitals, Liverpool, UK. Bailey & Love's Short Practice of Surgery 27th ed. Pg. 1347. 4. Bielecki K., Dziki A.: Proktologia. PZWL, Warszawa 2000; 187–188. 5. Isik A., Eryilmaz R., Okan I. et al.: The use of fibrin glue without surgery in the treatment of pilonidal sinus disease. Int. J. Clin. Exp. Med. 2014;7 (4):1047–1051 6. Guner A., Aydin B., Ozkan O.F. et al.: Limberg flap versus Bascom cleft techniques for sacrococcygeal pilonidal sinus: prospective randomized trial. World J. Surg. 2013; 37: 207 4–2080 7. John U Bascom, 1925-2013, American surgeon, formely of Eugene, OR, USA. Bailey & Love's Short Practice of Surgery 27th ed. Pg. 1348-49. 8. da Silva J.H. "Pilonidal cyst:cause and treatment." Diseases of the Colon and Rectum. 2000; Vol. –43:Pg.1146–1156. 9. Petersen S, Koch R, Stelzner S, Wendlandt TP, Ludwig K. Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approaches. Dis Colon Rectum. 2002;45(11):1458-67. 10. McCallum, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst. 2007;17(4). Available at https:// www.ncbi.nlm.nih.gov/pubmed/17943897. 11. Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus, Cochrane Database Syst. 2010;1. Available at http://www.cochrane.org/CD006213/WOUND S_healing-by-primary-versus-secondary-intent ion-aftersurgical-treatment-for-pilonidal-sinus. 12. Akca T, Colak T. Primary closure with Limberg flap in treatment of pilonidal sinus-randomized clinical trial. BJS. 2005;5074:10 81-4. 13. Azab AS, Kamal MS, Saad RA, Abount AL, Atta KA, Ali NA. Radical cure of pilonidal sinus by a transposition rhomboid flap. BJS 1984;71(2):154-5. 14. Mentes O, Bagci M, Biglin T, Ozgul O, Ozdemir M. Limberg flap procedure for pilonidal sinus diseased: results of 353 patients. Langenbecks Arch Surg. 2008;393(2):185-9. 15. Can MF, Sevinc MM, Hahcerliogullari O, Yilmaz M, Yagci G. Multicentre prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease. Am J Surg. 2010;200(3):318-2 7. 16. Katsoulis IE, Hibberts F, Carapeti EA. Outcome of treatment of primary and recurrent pilonidal sinus with Limberg flap. Surgeon. 20 06;4(1):7-10. 17. Aslam M, Choudhry A. Use of Limberg flap for pilonidal sinus-a viable option. J Ayub Med Coll Abbottabad. 2009;21(4):31 18. Urhan MK, Kuckel F, Topgul K, Ozer I, Sari S. Rhomboid excision and Limber flap for managing pilonidal sinus: results of 102 cases. Dis Colon Rectum. 2002;45:656-9. 19. Mentes BB, Leventoglu S, Cihan A, Tatlicioglu E, Akin M, Oguz M. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus. Surg Today. 2004;4(5):419-23. 20. Karydakis GE. The etiology of pilonidal sinus, Hell. Armed Forces Med Rev. 1975;7:411e-6.