Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease

Muzi, M Gallinella; Milito, G; Cadeddu, Federica; Nigro, Casimiro; Andreoli, F; Amabile, D; Am, Farinon

doi:10.1016/j.amjsurg.2009.05.036

Cited by 95 publications

(82 citation statements)

References 27 publications

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“…The same study found tensionfree primary repair to be more favorable in terms of postoperative pain and cost. 23 Our study found that return-to-work or -school time was shorter among the MLF group, while it showed no significant difference between the groups in terms of patient comfort in the early postoperative period.…”

Section: Discussioncontrasting

confidence: 51%

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Tokaç¹,

Dumlu²,

Aydın³

et al. 2015

International Surgery

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The best surgical technique for pilonidal sinus disease (PSD) is still disputed. The objective of this prospective randomized study is to compare the short and long-term results of modified Limberg flap and Karydakis flap surgeries that have been widely used in recent years. Ninety one patients were included in the study. The patients were divided into two groups: modified Limberg flap (MLF; n ¼ 46) and Karydakis flap (KF; n ¼ 45). Preoperative findings of the patients, their surgical findings, and short and long-term postoperative findings were recorded and statistically compared. While no significant difference was discovered between the groups in terms of postoperative analgesic need, hospital stay, postoperative infection rate, drain stay time, painless sitting time, painless toilet-sitting time, and painless walking time, return to work or school time was shorter in the MLF group compared with the KF group (20.61 6 7.89 days, 23.29 6 6.42, respectively; P , 0.05). Cosmetically, the visual analog scale (VAS) of the KF group was significantly higher than that of the MLF group (VAS score 7.12 6 1.28, 5.45 6 1.77, respectively; P , 0.05). Considering recurrence rates, no statistically significant difference was found between the groups. Our study found out that short and longterm results of the MLF and KF procedures are similar. We believe both methods can be safely used in surgical PSD treatment given that in the MLF procedure, shorter return-towork time is achieved, while the procedure provides better cosmetic results.

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Section: Discussioncontrasting

confidence: 51%

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Tokaç¹,

Dumlu²,

Aydın³

et al. 2015

International Surgery

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“…The most important problems of pilonidal sinus treatment are complications, recurrence of disease and aesthetic results [11]. Surgical procedures are the main treatment options especially in recurrent disease.…”

Section: Discussionmentioning

confidence: 99%

Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Bayhan

Zeren²,

Düzgün³

2016

J Clin Exp Invest

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Objective: A variety of surgical and minimally invasive treatment options are available to treat pilonidal sinus disease. Recurrence after surgery is a major problem. In addition to the surgical treatment of post-surgical recurrences, minimally invasive treatment methods are also available. In our study, we aimed to investigate the results of crystallized phenol application on patients who were admitted to our clinic with post-surgical pilonidal sinus recurrence. Methods:The data of 26 patients who were admitted to our clinic with postoperative pilonidal sinus recurrence and who were treated by crystallized phenol treatment were analyzed. Patients were evaluated in terms of age, gender, previous surgery, crystallized phenol application count, follow -up period and wound infection. Results:Data of 26 patients were analyzed.3 patients (11.5%) were admitted with recurrence after Modified Limberg surgery. 11 patients (42.3%) were admitted with recurrence after Limberg flap surgery and12 patients (46.15%) were admitted with recurrence after primary repair. 19 patients (73.02%) were treated by one time crystallized phenol application. 5 (19. 23%) patients underwent a second time application and provided treatment after the second application. The cure was achieved in 24 (92.3%) patients after repeated applications. Conclusion:Crystallized phenol application is a minimally invasive treatment method that can be applied easily under local anesthesia. The method has a high success rate after repeated applications in patients with recurrence after surgery and is a very good alternative to surgical therapy. Sonuç: Kristalize fenol uygulaması lokal anestezi altında kolaylıkla uygulanabilen minimal invaziv bir yöntemdir. Cerrahi sonrası rekürrens görülen hastalarda tekrarlayan uygulamalar sonrasında yüksek başarı oranına sahiptir ve cerrahi tedaviye çok iyi bir alternatiftir.Anahtar kelimeler: Nüks pilonidal sinüs, kristalize fenol tedavisi, minimal invaziv tedavi Bayhan Z, et al. Treatment of Postoperative Recurrent Pilonidal Disease

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“…3,4 A deep natal cleft with one of favourable factors enhance sacro-coccygeal pilonidal sinus, e.g., sweating, maceration, bacterial contamination and penetration of hairs. Obesity, trauma, local irritation and a sedentary lifestyle are usually associated with PS.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 The pathogenesis of the disease is hypothesized to be related to the accumulation of weak and lifeless hair in the intergluteal region, which over time gives rise to foreign body reaction, causing abscess and sinus formation. 3,4 and surgical methods, recurrence rate remain high. Complete surgical removal of the pilonidal sinus or sinuses and appropriate reconstruction can lead to successful recovery.…”

Section: Introductionmentioning

confidence: 99%

Pilonidal sinus- limberg versus karidakis flap our experience at SIMS, Shivamogga

2017

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INTRODUCTIONThe term pilonidal sinus originates from-pilus; latin for hair (pleural-pilli), nest from nidus. Sinus is a blind tract from an epithelial surface, lined by granulation tissue. The etiology and pathogenesis of sacro-coccygeal pilonidal sinus are not clear.1,2 The pathogenesis of the disease is hypothesized to be related to the accumulation of weak and lifeless hair in the intergluteal region, which over time gives rise to foreign body reaction, causing abscess and sinus formation. 3,4 A deep natal cleft with one of favourable factors enhance sacro-coccygeal pilonidal sinus, e.g., sweating, maceration, bacterial contamination and penetration of hairs. Obesity, trauma, local irritation and a sedentary lifestyle are usually associated with PS. 5,6 Although, pilonidal sinus can be treated using various conservative ABSTRACT Background: The etiology and pathogenesis of sacro-coccygeal pilonidal sinus are not clear. The pathogenesis of the disease is hypothesized to be related to the accumulation of weak and lifeless hair in the intergluteal region, which over time gives rise to foreign body reaction, causing abscess and sinus formation. A deep natal cleft with one of favourable factors enhance sacro-coccygeal pilonidal sinus, e.g., sweating, maceration, bacterial contamination and penetration of hairs. Obesity, trauma, local irritation and a sedentary lifestyle are usually associated with PS. Although pilonidal sinus can be treated using various conservative and surgical methods, recurrence rate remains high. Complete surgical removal of the pilonidal sinus or sinuses and appropriate reconstruction can lead to successful recovery. However, collection of the lifeless hair depends on the anatomy of the intergluteal area, and accompanying risk factors can lead to subsequent recurrence. Methods: The objective of this study is to compare the immediate post-operative and long-term results of Limberg flap and Karydakis flap, which are being widely used now to treat pilonidal sinus disease. It was a retrospective observational study where the patients (total number of patients-30) who underwent both the procedures were compared, Limberg flap (LF; n = 13) and Karydakis flap (KF; n = 17). Results: Present study found out that short and long-term results of the LF and KF procedures are similar. In present study we also noted that all patients with pilonidal sinus disease were men, and most of them had jobs which involved sitting for long durations. Poor hygiene and hirsutism however was not noted in most of the patients, and was not objectively assessed. Conclusions: Both the techniques can be used safely and effectively in sacro coccygeal pilonidal sinus disease.

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Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease

Cited by 95 publications

References 27 publications

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Pilonidal sinus- limberg versus karidakis flap our experience at SIMS, Shivamogga

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