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Management of pilonidal sinus with the Limberg flap
1Süleyman Demirel University, Faculty of Medicine, Department of General Surgery, Isparta, Turkey.
Diseases of the Colon and Rectum
|June 30, 1998
Summary
Rhombic excision and Limberg flap closure offer an effective treatment for pilonidal sinus disease, showing no recurrence in a 27-month follow-up. This surgical technique presents a viable alternative with a low complication rate.
Area of Science:
- Surgical techniques
- Proctology
- Wound healing
Background:
- Pilonidal sinus disease (PSD) is a chronic condition requiring effective treatment.
- Traditional methods for PSD often have significant failure rates.
- Minimally invasive surgical approaches are sought to improve patient outcomes.
Purpose of the Study:
- To evaluate the efficacy and advantages of rhombic excision and Limberg flap closure for treating pilonidal sinus disease.
- To demonstrate the technique's effectiveness compared to other PSD treatments.
- To assess complication and recurrence rates associated with this surgical method.
Main Methods:
- A cohort of 24 patients with chronic pilonidal sinus disease underwent rhombic excision and Limberg flap closure.
- Patients were monitored post-operatively for outcomes and complications.
- Data collected included hospital stay duration and return-to-work time.
Main Results:
- A mean follow-up period of 27 months revealed no instances of recurrence.
- The mean hospital stay was 4.1 days, with a mean return-to-work time of 17.5 days.
- A low complication rate of 12.5% was observed, with no surgical wound infections.
Conclusions:
- Rhombic excision and Limberg flap closure represent an effective alternative for pilonidal sinus disease treatment.
- The technique demonstrates a low failure rate compared to other methods.
- This approach offers favorable outcomes regarding recovery time and complications.