Pilonidal Sinus Disease: A Study of Thirty Six Cases

Datey, Sanjay; Vashistha, Rishikant; Gupta, Apoorva; Gadodia, Mohan; Lazarus, Ashwin; Verma, Prerna

doi:10.14260/jemds/2015/2395

Cited by 2 publications

(3 citation statements)

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“…Out of the total 60 patients 93% were male and 7% female, similar gender distributions are described in other studies. 1 - 5 The poor representation of female patients may be due to the relatively low incidence of pilonidal sinus disease in females, as females are less hirsute, also another reason for this distribution may be contributed to the fact that female are reluctant to take medical advice and undergo surgery by male surgeons who predominate in our setup. 7 - 10 Most patients were young with the mean age of 27.9±5.96 years.…”

Section: Discussionmentioning

confidence: 99%

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Comparison between primary closure with Limberg Flap versus open procedure in treatment of pilonidal sinus, in terms of frequency of post-operative wound infection

Jabbar¹,

Bhutta

Puri

2018

Pak J Med Sci

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Objective:Pilonidal sinus is a disorder of the sacrococcygeal region affecting younger individuals with a higher hair and weight distribution. Treatment involves the use of various surgical modalities, most of which are associated with a high rate of complications. Open procedure (OP) and Limberg Flap (LF) are two commonly performed surgical procedures for the correction of pilonidal sinus disease in our setup. The objective of our study was to compare the treatment of pilonidal sinus disease by primary closure with Limberg Flap verses Open procedure in terms of frequency of postoperative wound infection.Methods:The study is a randomized clinical trial (RCT) conducted at the department of surgery, military hospital, Rawalpindi, Pakistan. It was carried out over a period of 8 months from 16 February, 2015 to 16 September, 2015. Using consecutive non-probability sampling, a total of 60 patients were selected, 30 of whom underwent Limberg Flap procedure and the remaining 30 underwent open procedure. Postoperatively, observations for wound infection on date of discharge and then again on the various follow-up visits over the next 3 weeks. The data collected was then compared by applying the chi-square test, with p-value less than 0.05 considered statistically significant.Results:Our results showed that both primary closure with Limberg flap, and open procedure are comparable options in terms of wound infection. There was no statistical significance in the incidence of post operative infections, between the two surgeries.Conclusion:In terms of wound infection, both procedures are satisfactory surgical procedures for Pilonidal sinus disease.

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Section: Discussionmentioning

confidence: 99%

“…Comparable results were shown in other similar studies. 2 , 4 , 5 Wound Infection was graded as per Southampton wound grading system. 22 It is as follows:…”

Section: Discussionmentioning

confidence: 99%

Comparison between primary closure with Limberg Flap versus open procedure in treatment of pilonidal sinus, in terms of frequency of post-operative wound infection

Jabbar¹,

Bhutta

Puri

2018

Pak J Med Sci

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“…It is now largely accepted that the condition is acquired and caused by local trauma, poor hygiene, extreme hairiness, or the existence of a deep natal cleft [ 5 ]. Males, young age group, overweight, and hirsute individuals, as well as those with a positive family history, are more likely to acquire this benign condition [ 6 ]. Due to differences in hair features and growth patterns, the disease is more common in Caucasians than in Asians or Africans [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Limberg Flap Reconstruction With Wide-Open Excision and Healing by Secondary Intention in the Management of Pilonidal Sinus: Our Experience at a Tertiary Care Center in India

Chopde¹,

Adhikari²

2022

Cureus

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IntroductionA pilonidal sinus (PNS) is a small passageway in the subcutaneous tissue which develops most frequently in the sacrococcygeal area. In terms of postoperative outcomes, the decision on the best surgical treatment for PNS is still a challenge for a surgeon. Prevention of the disease recurrence and improving quality of the life can be considered primary goals of the treatment. The current study intends to compare two commonly practiced surgical treatments for PNSes-Rhomboid excision with Limberg flap repair against wide-open excision with healing by secondary intention. MethodsIn a prospective randomized study, 50 patients with sacrococcygeal PNS were divided into two groups. Group A was operated by rhomboid excision with Limberg flap reconstruction and Group B was operated by wide-open excision and healing by secondary intention. Data were collected on a specially designed structured proforma and consisted of patient demographics, medical history, presentation, and postoperative complications assessed for a period of 6 months. Comparative outcomes of interest were postoperative pain, postoperative anxiety, duration of wound healing, duration of work loss, presence of wound infection, and recurrence. ResultsMean age of 28 years was observed across the study with a male preponderance (76%). The mean visual analog scale (VAS) score for pain was greater in Group A during the early postoperative period, i.e., days 1, 3, and 7. However, patients in Group B reported a mean VAS score of 3 ± 0 and 1 ± 0 at one month and 2 months, respectively indicating a longer duration of postoperative pain overall. Patients in Group B also reported a significantly higher VAS for anxiety (VAS-A) score for postoperative anxiety/stress in all the follow-up visits. The mean healing time was 20 ± 2 days in Group A and 57 ± 11 days in Group B showing a significant difference. Duration of work loss was also significantly higher in Group B (31 days). Five patients in Group B developed wound infections. No recurrence was observed across both the groups in this study. ConclusionAccording to the findings of this study, the Limberg flap method outperforms the wide-open excision approach in terms of healing duration, work loss days, postoperative pain, anxiety, and wound infection. Both the techniques, however, are comparable in terms of recurrence.

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Pilonidal Sinus Disease: A Study of Thirty Six Cases

Cited by 2 publications

References 10 publications

Comparison between primary closure with Limberg Flap versus open procedure in treatment of pilonidal sinus, in terms of frequency of post-operative wound infection

Comparison between primary closure with Limberg Flap versus open procedure in treatment of pilonidal sinus, in terms of frequency of post-operative wound infection

Comparative Study of Limberg Flap Reconstruction With Wide-Open Excision and Healing by Secondary Intention in the Management of Pilonidal Sinus: Our Experience at a Tertiary Care Center in India

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