Modified Limberg flap technique in the treatment of pilonidal sinus disease in teenagers

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

“…In contrast to findings in the adult population, gender distribution in pediatric SPS studies is often contradictory, with some describing either male preponderance [5,17,23] (as we report), similar rate for males and females [16] or a slight female preponderance [15,24]. Also, and in contrast to previous reports, we found no significant differences between male and female patients regarding age at surgeryprevious studies report on a younger age at diagnosis and surgery in females, and it has been postulated to occur due to the early puberty in girls versus boys [13].…”

“…Our study population characteristics reflect previous studies in regards to age since most reports cite a median age of 16 years old, with the youngest cases being around 12 years old at the time of surgery [5,13,16,22]. In contrast to findings in the adult population, gender distribution in pediatric SPS studies is often contradictory, with some describing either male preponderance [5,17,23] (as we report), similar rate for males and females [16] or a slight female preponderance [15,24].…”

“…However, virtually all methods show considerably high recurrence rates due to SPS pathophysiology. Additionally, reports in pediatric SPS management are limited and represent mostly retrospective reviews, thus results vary widely and recommendations are often contradictory [5,[12][13][14][15][16][17].…”

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

“…All these factors allow easier closure of the wound. For large defects, we also slightly reduced the 60° flap angle, so as to further reduce the skin tension [24][25][26].…”

Modified Limberg Flap for Pilonidal Sinus

“…Hence modifi ca on of classical Limberg fl ap was done into lateraliza on of midline incision which has demonstrated low recurrence rate 21,22 . In retrospec ve study done by Akin M et al 23 have shown that the recurrence rate was sta s cally higher in the classical group than in the modifi ed Limberg fl ap group (P = 0.036).…”