Limberg Flap Repair for Pilonidal Sinus Disease

Abstract

The Limberg flap procedure is an easy and effective technique. Patient comfort, quick healing time, early return to full activity, and low complication and recurrence rates are the important advantages of this procedure.

The effects of drainage on the rates of early wound complications and recurrences after Limberg flap reconstruction in patients with pilonidal disease

“…In the literature, the rate of wound-related complications (such as infection, seroma, hematoma, dehiscence or necrosis) after LFR varies from 4.7 to 15.9% [10,13]. The complication rates rise to 15.9% in small series and fall as low as 4.7% in large series [5,[10][11][12][13][14]. The higher complication and recurrence rates in the present study may be attributed to our limited experiences on LFR for sacrococcygeal PD.…”

Limberg flap procedure for pilonidal sinus disease: results of 353 patients

“…[18] Daphan et al operated on 147 patients with a median follow-up time of 13.1 months, and recurrence was noted 4.8%. [21] In our study, we operated on 353 patients, and recurrence was found to be 3.1%.…”

“…The length of the hospital stay for the different techniques have been reported 29 days for incision and drainage [17], 10 to 21 days for the excision-open-packing technique [15]. The operated number of patients and length of hospital stay by Topgül et al [18], Erdem et al [19], Eryilmaz et al [20], and Daphan et al [21] was 200 patients, 3.1 days; 40 patients, 3.5±1.16 days; 63 patients, 3 days; 147 patients, 5.9 days, respectively. In our study, we operated on 353 patients, and the mean length hospital stay was 4.51± 2.85 days.…”

Superiority of Asymmetric Modified Limberg Flap for Surgical Treatment of Pilonidal Disease

“…[5][6][7][8] With flap surgery, the resulting defective area after wide excision is filled with well-vascularized fasciocutaneous tissue and its superiority to primary closure and marsupialization has been reported in many articles. [9][10][11][12] An important point in pilonidal sinus surgery is that the sacral region has a flat anatomic plane; in contrast, the intergluteal region has a sulcus overlying the coccyx that curves toward anus. The medial parts of the buttocks deepen down to this sulcus.…”