[Limberg Flap reconstruction for pilonidal sinus].

Area of Science:

• Surgical techniques
• Pilonidal sinus treatment
• Clinical outcomes

Background:

• Pilonidal sinus affects a significant patient population, necessitating effective surgical interventions.
• Traditional surgical methods for pilonidal sinus often have high recurrence rates.
• Evaluating novel surgical approaches is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the effectiveness of Limberg Flap reconstruction versus conventional suturing for pilonidal sinus.
• To assess postoperative complications, pain, hospital stay, and recurrence rates between the two techniques.

Main Methods:

• A comparative study involving 117 patients with pilonidal sinus.
• Patients were divided into two groups: Limberg Flap reconstruction (n=62) and conventional suturing (n=55).
• Data analysis was performed using SPSS software.

Main Results:

• Limberg Flap group had a longer hospital stay (8.2 days vs. 5.4 days) and delayed suture removal (13 days vs. 8 days).
• Postoperative wound infection was lower in the Limberg Flap group (3.2% vs. 14.5%).
• Long-term recurrence rates were significantly lower with Limberg Flap reconstruction (1 patient vs. 6 patients).

Conclusions:

• Limberg Flap reconstruction demonstrates a lower incidence of postoperative complications and long-term recurrences for pilonidal sinus.
• The Limberg Flap technique, while effective in reducing recurrence, involves a longer rehabilitation and wound healing period.
• The choice of surgical technique should consider the trade-off between complication rates and recovery time.