Treatment of pilonidal sinus with rhomboid excision and Limberg flap operation
Keywords:
pilonidal sinus, Limberg flap, sacrococcygeal pilonidal sinusAbstract
Pilonidal sinus is a widespread condition. There have been several surgical methods described for treating the sacrococcygeal pilonidal sinus. The Limberg flap after rhomboid excision is the method that is most frequently utilized. By flattening the natal cleft, a big, well-vascularized flap is used to create a tension-free repair. The best treatment options are said to have a recurrence rate of 0–5% and complication rate during surgery of 0–16%. Aim: This study was held to assess patient characteristics and treatment outcomes for pilonidal sinus patients who had rhomboid excision and reconstruction with Limberg flap in our setting. Methods: Information was collected retrospectively by analyzing the records of patients who were done with rhomboid excision and reconstruction with Limberg flap for sacrococcygeal pilonidal sinus in General Surgery department, Lady Reading Hospital, Peshawar during the period from January 2020 to December 2022. Results: The study included 40 patients in total, 34 (85%) men and 6 (15%) women. The mean age was 25.10. (range 18–45 years). The mean stay in hospital was 4.2 days, with 3 to 7-day of range. The primary disease affected 38 out of the 40 individuals, and a recurring disease affected 2 patients.
Downloads
References
Abdelnaby M, Emile SH, El-Said M, AbdelMawla A, Elgendy H, Sakr A, Shalaby M. Rotational gluteal flap versus modified Limberg flap in treatment of sacrococcygeal pilonidal disease. journal of surgical research. 2018 Mar 1;223:174-82.
Abdelraheem O, Khalil M. Comparative study between excision with primary closure versus Limberg flap for treatment of primary sacrococcygeal pilonidal sinus. International Surgery Journal. 2017 Oct 27;4(11):3581-5.
Alam MA, Tarar AN, Tarar AB, Alam M. Comparative study for treatment of sacrococcygeal pilonidal sinus with simple wide excision versus limberg flap. Pak J Med Heal Sci. 2018 Jul 1;12:911-3.
Alvandipour M, Zamani MS, Ghorbani M, Charati JY, Karami MY. Comparison of Limberg flap and Karydakis flap surgery for the treatment of patients with pilonidal sinus disease: a single-blinded parallel randomized study. Annals of Coloproctology. 2019 Dec;35(6):313.
Arnous M, Elgendy H, Thabet W, Emile SH, Elbaz SA, Khafagy W. Excision with primary midline closure compared with Limberg flap in the treatment of sacrococcygeal pilonidal disease: a randomised clinical trial. The Annals of The Royal College of Surgeons of England. 2019 Jan;101(1):21-9.
Ates U, Ergun E, Gollu G, Sozduyar S, Kologlu M, Cakmak M, Dindar H, Yagmurlu A. Pilonidal sinus disease surgery in children: the first study to compare crystallized phenol application to primary excision and closure. Journal of pediatric surgery. 2018 Mar 1;53(3):452-5.
Boshnaq M, Phan YC, Martini I, Harilingam M, Akhtar M, Tsavellas G. Limberg flap in management of pilonidal sinus disease: systematic review and a local experience. Acta Chirurgica Belgica. 2018 Mar 4;118(2):78-84.
Dudhwala MF, Singh V. Limberg flap versus primary closure in the treatment of sacrococcygeal pilonidal sinus. International Journal of Surgery. 2020;4(3):16-8.
Ekici U, Kanlıöz M, Ferhatoğlu MF, Kartal A. A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus. Asian journal of surgery. 2019 Oct 1;42(10):907-13.
Gavriilidis P, Bota E. Limberg flap versus Karydakis flap for treating pilonidal sinus disease: a systematic review and meta-analysis. Canadian Journal of Surgery. 2019 Apr;62(2):131.
Gezer HÖ, Ezer SS, Ince E, Temiz A. Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time. Pediatrics International. 2020 Oct;62(10):1171-6.
Harries RL, Alqallaf A, Torkington J, Harding KG. Management of sacrococcygeal pilonidal sinus disease. International wound journal. 2019 Apr;16(2):370-8.
Khan N, Singhal P, Chandrashekhar S, Goel D, Patel K, Deshpande N. Is limberg flap better than excision and primary closure for treatment of sacrococcygeal pilonidal sinus: a prospective randomised study of 30 cases. International Surgery Journal. 2021 Jan 29;8(2):699-703.
Kose E, Hasbahceci M, Tonyali H, Karagulle M. Comparative analysis of the same technique-the same surgeon approach in the surgical treatment of pilonidal sinus disease: a retrospective cohort study. Annals of surgical treatment and research. 2017 Aug;93(2):82.
Kumar R, Hastir A, Walia RS, Goyal S, Kaur A. Prospective randomized study of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention. International Surgery Journal. 2017 Oct 27;4(11):3646-51.
Mutus HM, Aksu B, Uzun E, Gulcin N, Gercel G, Ozatman E, Durakbasa CU, Okur H. Long-term analysis of surgical treatment outcomes in chronic pilonidal sinus disease. Journal of Pediatric Surgery. 2018 Feb 1;53(2):293-4.
Orban YA, Habib FM, Sallam AM, Sarhan A, Mansour MI. Limberg versus modified Limberg flap in the management of pilonidal sinus. The Egyptian Journal of Surgery. 2021 Oct 1;40(4):1379-83.
Prassas D, Rolfs TM, Schumacher FJ, Krieg A. Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials. Langenbeck's archives of surgery. 2018 Aug;403:547-54.
Roatis MD, Georgescu AV. Rhomboid Flap vs. Keystone Perforator Island Flap (KPIF) in the Treatment of Pilonidal Sinus Disease: Comparison of Short-Term Results. International Journal of Clinical Medicine. 2020 Jul 14;11(7):454-64.
Romaniszyn M, Swirta JS, Walega PJ. Long‐term results of endoscopic pilonidal sinus treatment vs Limberg flap for treatment of difficult cases of complicated pilonidal disease: a prospective, nonrandomized study. Colorectal Disease. 2020 Mar;22(3):319-24.
Sahsamanis G, Samaras S, Mitsopoulos G, Deverakis T, Dimitrakopoulos G, Pinialidis D. Semi-closed surgical technique for treatment of pilonidal sinus disease. Annals of Medicine and Surgery. 2017 Mar 1;15:47-51.
Singh PK, Gohil RK, Saxena N. Limberg flap procedure for sacrococcygeal pilonidal sinus: a prospective study. International Surgery Journal. 2017 Jun 22;4(7):2238-42.
Sinnott CJ, Glickman LT. Limberg flap reconstruction for sacrococcygeal pilonidal sinus disease with and without acute abscess: our experience and a review of the literature. Archives of Plastic Surgery. 2019 May;46(03):235-40.
Soliman Mohamed S, O Alfy M. Limberg flap versus excision with primary closure in pilonidal sinus. Al-Azhar Medical Journal. 2020 Oct 1;49(4):1511-8.
Wadhawan G, Sharma D, Vyas KC. A comparative study of different treatment outcomes in cases of pilonidal disease. Int J Surg. 2020;4:292-7.
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
