Rhomboid excision and limberg flap reconstruction for pilonidal disease

May 2018 ECAM 349 Views
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Aim: Pilonidal sinus is a common disease that affects generally younger patients and occurs mostly in the sacro-coccygeal region. The main treatment of
pilonidal sinus is still controversial. This study aimed to evaluate the usefulness and surgical results of Limberg flap reconstruction in pilonidal sinus disease.
Material and Method: Between January 2012 and January 2017, 78 patients were operated on electively and rhomboid excision with Limberg flap reconstruction
was performed for pilonidal sinus disease in our clinic. Demographic features, clinical data, operative findings, postoperative complications, and patient
follow-up were retrospectively analyzed. Results: The mean age of the patients was 27.91± 6.49 years. Out of the 78 patients, 59 (75.6%) were male and 19
(24.4%) were female. The mean duration of symptoms was 5.38 months (2-13 months) and the mean operative time was 68.4 ± 18.7 min. The median amount
of blood loss during surgery was 75 ml (range from 30 to 200 ml). The mean hospital stay was 7.79 ± 1.85 days. In the postoperative period, recurrences were
noted in only 2 (2.56%) patients in the follow-up period, which ranged from 1 to 6 years. Discussion: Limberg flap is an efficient and easy technique with less
complication. It is especially useful in patients with large diseased pilonidal sinus tissue and multiple sinuses with lateral openings. This technique results in a
reduced hospital stay and recurrence rate which means that the patients can go back to their daily lives sooner.

Additional Info

  • Recieved: 24.03.2018
  • Accepted: 07.04.2018
  • Published Online: 10.04.2018
  • Printed: 01.05.2018
  • DOI: 10.4328/AEMED.129
  • Author: Volkan Oter, Serdar Oter, Mehmet Tolga Kafadar
  • Identifier: J Ann Eu Med 2018;6(2): 28-31
  • Index Page: 28-31
  • How to Cite: Volkan Oter, Serdar Oter, Mehmet Tolga Kafadar. Rhomboid excision and limberg flap reconstruction for pilonidal disease. J Ann Eu Med 2018;6(2): 28-31
  • Running Title: Limberg flap for pilonidal disease
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