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Updated: May 25, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Pilonidal sinus--a classical plastic procedure according to Limberg (Limberg flap procedure) or its modified
M Kicka1, T Toporcer, J Radonak
1I.chirurgicki klinika UNLP, Kosice, Slovenská republika.
Summary
The modified Limberg flap technique for pilonidal sinus disease (PSD) surgery resulted in shorter hospital stays and zero recurrence within a year, unlike the standard Limberg flap. This suggests modified Limberg flap may be a superior standard for PSD treatment.
Area of Science:
- Surgical techniques
- Proctology
- Dermatologic surgery
Context:
- Pilonidal sinus disease (PSD) is a chronic condition requiring surgical intervention.
- Current surgical approaches for PSD lack standardized techniques for excision and reconstruction.
- Flap reconstruction is utilized to minimize complications and recurrence.
Purpose:
- To compare the outcomes of standard Limberg flap (LF) versus modified Limberg flap (mLF) for chronic pilonidal sinus disease surgery.
- To evaluate differences in hospital stay, suture tension, and disease recurrence rates between LF and mLF.
- To assess the efficacy of flap-based reconstruction in managing PSD.
Summary:
- A retrospective analysis of 83 patients with chronic PSD compared LF (67 patients) and mLF (16 patients).
- The mLF group demonstrated shorter hospital stays (3 days vs. 4 days) and a significantly lower one-year recurrence rate (0% vs. 6.25%) compared to the LF group.
- No significant differences were noted in patient demographics between the groups.
Impact:
- The modified Limberg flap technique may offer improved outcomes for pilonidal sinus disease treatment.
- Utilizing flaps in PSD surgery reduces suture tension, dehiscence, and recurrence risk.
- This study suggests the modified Limberg flap could become a new standard of care for PSD treatment.
