Abstract
References
- 1. Khanna A, Rombeau JL. Pilonidal disease. Clin Colon Rectal Surg. 2011;24:46–53.
- 2. Akinci OF, Bozer M, Uzunköy A, Düzgün SA, Coskun A. Incidence and aetiological factors in pilonidal sinus among Turkish soldiers. Eur J Surg. 1999;165:339–42.
- 3. Ahmed, AK, McCallum I, King PM, Bruce J. Healing by Primary versus secondary intention after surgical treatment for Pilonidal sinus. Cochrane Database Syst Rev. 2010:CD006213.
- 4. Mahdy T. Surgical treatment of the pilonidal disease: primary closure or flap reconstruction after excision. Dis Colon Rectum. 2008;51(12): 1816-22.
- 5. Tezel E, Bostancı H, Azılı C, Kurukahvecioglu O, Anadol Z. A New Perspective on Pilonidal Sinus Disease and Its Treatment.Marmara Medical Journal. 2015;22(1):85-89.
- 6. el-Khadrawy O, Hashish M, Ismail K, Shalaby H. Rhomboid flap outcome for recurrent pilonidal disease. World J Surg. 2009;33(5):1064–68.
- 7. Bi S, Sun K, Chen S, Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Sci Rep. 2020;10(1):13720.
- 8. Vartanian E, Gould DJ, Lee SW, Patel KM. Pilonidal Disease: Classic and Contemporary Concepts for Surgical Management. Ann Plast Surg.2018;81(6):e12-e19. doi:10.1097/SAP.0000000000001585.
- 9. Elshazly WG, Said K. Clinical trial comparing excision and primary closure with modified Limberg flap in the treatment of uncomplicated sacrococcygeal pilonidal disease. Alexandria Journal of Medicine. 2012;48(1):13-18.
- 10. Kartal A, Aydın HO, Oduncu M, Ferhatoglu MF, Kıvılcım T, Filiz AI. Comparison of Three Surgical Techniques in Pilonidal Sinus Surgery. Prague Med Rep. 2018;119(4):148-155. doi: 10.14712/23362936.2019.2.
- 11. Lee PJ, Raniga S, Biyani DK, Watson AJ, Faragher IG, Frizelle FA. Sacrococcygeal pilonidal disease. Colorectal Dis. 2008;10(7):639–650.
- 12. Horwood J, Hanratty D, Chandran P, Billings P. Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials. Colorectal Dis. 2012;14(2):143-51. doi: 10.1111/j.1463-1318.2010.02473.x.
- 13. Karaca AS, Ali R, Capar M, Karaca S. Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, in terms of quality of life and complications. J Korean Surg Soc. 2013;85(5):236-9. doi: 10.4174/jkss.2013.85.5.236
- 14. Stauffer VK, Luedi MM, Kauf P, Schmid M, Diekmann M, Wieferich K, Schnüriger B, Doll D. Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence. Sci Rep. 2018;8(1):3058. doi: 10.1038/s41598-018-20143-4.
Comparison of primary closure + Limberg flap combination with primary closure and Limberg flap alone in the treatment of pilonidal sinus disease: a retrospective study
Abstract
Objective: There are no definite rules for the treatment of pilonidal sinus disease (PSD). The aim of this study was to compare the primary closure (PC)+ Limberg flap (LF) combination with PC and LF alone in the treatment of PSD.
Methods: Patients with PSD who underwent PC, LF and PC+ LF between 2013–2020 in Tokat State Hospital were included in the study. Age, gender, sinus classification, and recurrence were evaluated. PSD staging was performed according to the Tezel classification. Patients were divided into three groups as PC, LF and PC+LF according to type of operation.
Results: Ninety-four patients (mean age of 26.5 ± 6.9 years) were included in the study. Group PC consisted of 17 male and 7 female patients with a mean age of 27.04 (18–44) years; group LF comprised 24 male and 12 female patients with a mean age of 27.39 (18–46) years and group PC+LF comprised 22 male and 12 female patients with a mean age of 25.26 (18-47) years. There were no significant differences between groups in terms of age and gender (p=0.36, p=0.87, respectively). The mean operative time was significantly longer for the LF group than the PC+LF group (p<0.001). Recurrence rate was 41.7% in the PC group, compared to 17.6% for the PC+LF group (p=0.04). There were no significant differences between LF and PC+LF group regarding recurrence (p=0.43).
Conclusion: The PC+LF combination provided less recurrence compared to PC and shorter operation duration compared to LF.
References
- 1. Khanna A, Rombeau JL. Pilonidal disease. Clin Colon Rectal Surg. 2011;24:46–53.
- 2. Akinci OF, Bozer M, Uzunköy A, Düzgün SA, Coskun A. Incidence and aetiological factors in pilonidal sinus among Turkish soldiers. Eur J Surg. 1999;165:339–42.
- 3. Ahmed, AK, McCallum I, King PM, Bruce J. Healing by Primary versus secondary intention after surgical treatment for Pilonidal sinus. Cochrane Database Syst Rev. 2010:CD006213.
- 4. Mahdy T. Surgical treatment of the pilonidal disease: primary closure or flap reconstruction after excision. Dis Colon Rectum. 2008;51(12): 1816-22.
- 5. Tezel E, Bostancı H, Azılı C, Kurukahvecioglu O, Anadol Z. A New Perspective on Pilonidal Sinus Disease and Its Treatment.Marmara Medical Journal. 2015;22(1):85-89.
- 6. el-Khadrawy O, Hashish M, Ismail K, Shalaby H. Rhomboid flap outcome for recurrent pilonidal disease. World J Surg. 2009;33(5):1064–68.
- 7. Bi S, Sun K, Chen S, Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Sci Rep. 2020;10(1):13720.
- 8. Vartanian E, Gould DJ, Lee SW, Patel KM. Pilonidal Disease: Classic and Contemporary Concepts for Surgical Management. Ann Plast Surg.2018;81(6):e12-e19. doi:10.1097/SAP.0000000000001585.
- 9. Elshazly WG, Said K. Clinical trial comparing excision and primary closure with modified Limberg flap in the treatment of uncomplicated sacrococcygeal pilonidal disease. Alexandria Journal of Medicine. 2012;48(1):13-18.
- 10. Kartal A, Aydın HO, Oduncu M, Ferhatoglu MF, Kıvılcım T, Filiz AI. Comparison of Three Surgical Techniques in Pilonidal Sinus Surgery. Prague Med Rep. 2018;119(4):148-155. doi: 10.14712/23362936.2019.2.
- 11. Lee PJ, Raniga S, Biyani DK, Watson AJ, Faragher IG, Frizelle FA. Sacrococcygeal pilonidal disease. Colorectal Dis. 2008;10(7):639–650.
- 12. Horwood J, Hanratty D, Chandran P, Billings P. Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials. Colorectal Dis. 2012;14(2):143-51. doi: 10.1111/j.1463-1318.2010.02473.x.
- 13. Karaca AS, Ali R, Capar M, Karaca S. Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, in terms of quality of life and complications. J Korean Surg Soc. 2013;85(5):236-9. doi: 10.4174/jkss.2013.85.5.236
- 14. Stauffer VK, Luedi MM, Kauf P, Schmid M, Diekmann M, Wieferich K, Schnüriger B, Doll D. Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence. Sci Rep. 2018;8(1):3058. doi: 10.1038/s41598-018-20143-4.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research articles |
| Authors | |
| Publication Date | November 30, 2022 |
| Published in Issue | Year 2022 Volume: 8 Issue: 4 |
e-ISSN 2149-7796