A comparison of surgical outcome of fasciocutaneous V–Y advancement flap and Limberg transposition flap for recurrent sacrococcygeal pilonidal sinus disease

Öz, Bahadır; Akçan, Alper; Emek, Ertan; Akyüz, Muhammet; Sözüer, Erdoğan; Akyldız, Hızır; Aydın, Hüsnü

doi:10.1016/j.asjsur.2015.10.002

Cited by 20 publications

(18 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The reported rates for V-Y flap technique was 0-10.2% for wound site infection, 0-4.6% for seroma and 0-10.2% for wound dehiscence. 16,17,18 The rates we obtained in our study were slightly higher compared to the literature. The reason for this was concluded to be lower sociocultural levels and self-care of our patients and that they did not comply with the post-discharge recommendations.…”

Section: Discussioncontrasting

confidence: 63%

“…The recurrence rate for V-Y flap and Limberg flap were 0-11% and 0-6%, respectively, in the literature. 11,17,18 In our study, recurrence was detected in only two patients (4%) in the V-Y flap group and three patients in the Limberg group (6%) in a 2-year period. Although recurrence rate following Limberg procedure is close to the literature, our recurrence rate in the V-Y group is lower.…”

Section: Discussioncontrasting

confidence: 47%

“…Evaluation of patient satisfaction disadvantage of V-Y flap method reported in the literature seems to be longer operative time and longer hospital stay. 16,17 Operative times were not compared in our study. However, the length of hospital stay of patients in the V-Y group was similar to that of the Limberg group with a mean of 2 days and was significantly lower than the literature.…”

Section: Discussionmentioning

confidence: 97%

See 2 more Smart Citations

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Sarı¹,

Akbaba²,

Gündoğdu³

et al. 2019

tjcd

View full text Add to dashboard Cite

Komplike, geniş eksizyon yapılmasını gerektirecek pilonidal sinüs hastalığının cerrahi tedavisinde popüleritesini koruyan iki yöntem olan V-Y ile Limberg flep tekniklerini karşılaştırılarak, birbirine olan üstünlüklerinin literatür ışığında gözden geçirilmesi amacıyla bir çalışma planlandı. Yöntem: Çalışmaya pilonidal sinüs hastalığı tanısı ile yatırılan ve oluşacak defekt genişliği sebebiyle flep uygulanması planlanan 100 hasta dahil edildi. Randomize olarak 2 gruba ayrılan hastalardan A grubundaki 50 hastaya V-Y flep, B grubundaki 50 hastaya ise Limberg flep uygulandı. Her iki grup gelişen komplikasyonlar, iyileşme süreleri, iş gücü kayıpları, hasta memnuniyetleri ve 2 yıllık nüks oranları açısından prospektif olarak takip edildi ve elde edilen bulgular istatistiksel olarak karşılaştırıldı. Bulgular: Her iki grubun demografik özellikleri, yakınmaları ve klinik bulguları benzerdi. Postoperatif yara enfeksiyonu oranları yakın olmakla birlikte (%26, %28; p>0,005) yara ayrışması Limberg grubunda daha fazla görüldü (%26, %36; p<0,005). Yara iyileşme süreci, iş gücü kayıpları Limberg flep grubunda daha uzun olmakla birlikte sonuçlar istatistiksel açıdan anlamlı değildi. Hasta memnuniyetleri ve takip edilen 2 yıllık dönemdeki nüksler açısından gruplar arasında fark yoktu. Sonuç: V-Y flep ve Limberg flep tekniklerinin uzun dönem nüks oranları yakındır. Yara açılması V-Y flep tekniğinde anlamlı olarak daha azdır. Bu çalışmanın sonuçlarına göre, geniş doku kaybına neden olan eksizyon sonrası V-Y flep yöntemi iyi bir alternatif olarak kabul edilebilir.

show abstract

Section: Discussioncontrasting

confidence: 63%

Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Sarı¹,

Akbaba²,

Gündoğdu³

et al. 2019

tjcd

View full text Add to dashboard Cite

show abstract

“…14,15 Genel olarak literatürde V-Y flep yönteminin olumsuz gibi görünen tarafı ise daha uzun operasyon süresi ve daha uzun hastanede kalış süresi gerektirmesi gibi görülmektedir. 16,17 Çalışmamızda operasyon süreleri karşılaştırılmamıştır fakat V-Y grubundaki hastaların hastanede kalış süreleri Limberg grubuyla benzer ve ortalama 2 gün olup literatürden farklı olarak belirgin düşüktü. Aynı şekilde çalışmamızda VY flep uygulanan hastaların işe dönüşlerinin de Limberg grubuyla benzer olduğu ve literatürdeki diğer çalışmalardan daha kısa olduğu gözlendi.…”

Section: Introductionunclassified

“…V-Y flep tekniği için yara yeri enfeksiyonu 0-10,2%, seroma 0-4,6% ve yara ayrışması 0-10,2% oranları aralığında bildirilmiştir. [16][17][18]…”

Section: Introductionunclassified

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Sarı¹,

Akbaba²,

Gündoğdu³

et al. 2018

TJCD

View full text Add to dashboard Cite

A study is planned to compare the superiorities of each other, V-Y and Limberg flap methods which are two popular methods in surgical treatment of pilonidal sinus with wide excision is required, considering the current literature. Method: The study included 100 patients which are diagnosed with pilonidal sinus disease and flap planned due to the width of defect. Patients were divided into two groups randomly. 50 patients were treated with the V-Y flap procedure in group A and 50 patients were treated with Limberg in group B. Both groups were prospectively followed in terms of complications, recovery times, loss of work power, patient satisfaction and 2 year recurrence rates, and the findings were compared statistically. Results: Demographic characteristics, complaints and clinical findings were similar in both groups. Postoperative wound infection rates were close (26%, 28%; p>0,005) but wound separation was seen more in Limberg group (26%, 36%; p<0,005). Wound healing process, loss of work power were longer in Limberg flap group, but the results were not statistically significant. There was no difference between groups about patients' satisfaction and 2-year recurrence. Conclusion: The long-term recurrence rates of V-Y flap and Limberg flap technique are similar. Wound separation is significantly less in V-Y flap technique. According to the results of this study, V-Y flap method can be accepted as a better alternative after excision which causes wide tissue loss.

show abstract

Role of Lasers in Pilonidal Sinus

Gupta¹

2022

Lasers in Proctology

View full text Add to dashboard Cite

A comparison of surgical outcome of fasciocutaneous V–Y advancement flap and Limberg transposition flap for recurrent sacrococcygeal pilonidal sinus disease

Abstract: Limberg transposition flap may be use in recurrent cases of PSD, because of the lower recurrence rate and less hospital stay time, early return to work. Most important advantage of fasciocutaneous V-Y advancement flap is the ability to close larger defects in recurrent cases.

Cited by 20 publications

References 26 publications

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Role of Lasers in Pilonidal Sinus

Contact Info

Product

Resources

About