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[Limberg Flap reconstruction for pilonidal sinus]
M A Danilov1, G G Saakyan1, A V Leontyev1
1Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Objective:
To compare the effectiveness of two surgical techniques in patients with pilonidal sinus.
Material And Methods:
There were 117 patients with pilonidal sinus divided into 2 groups depending on surgical approach: main group - Limberg Flap reconstruction (n=62), control group - conventional suturing of sinus (n=55). Patient data were analyzed using SPSS software.
Results:
Mean length of hospital-stay in the main group was 8.2 days, in the control group - 5.4 days. Pain syndrome was more significant after 1 postoperative day in the main group. Three days later, severity of pain was similar in both groups. In the main group, sutures were removed after 13 days, in the control group - after 8 days. Incidence of postoperative wound infection was 3.2% in the main group and 14.5% in the control group. Long-term postoperative recurrence occurred in 1 patient of the main group and 6 patients of the control group.
Conclusion:
Limberg flap reconstruction is followed by fewer postoperative complications and recurrences. However, period of rehabilitation and wound healing is longer compared to traditional technique.
