Comparison of primary closure + Limberg flap combination with primary closure and Limberg flap alone in the treatment of pilonidal sinus disease: a retrospective study

Authors : Mümin DEMİR, Çağrı AKALIN

Pages : 563-569

Doi:10.19127/mbsjohs.1133894

View : 23 | Download : 14

Publication Date : 2022-11-30

Article Type : Research Paper

Abstract :Objective: There are no definite rules for the treatment of pilonidal sinus disease insert ignore into journalissuearticles values(PSD);. The aim of this study was to compare the primary closure insert ignore into journalissuearticles values(PC);+ Limberg flap insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(18–44); years; group LF comprised 24 male and 12 female patients with a mean age of 27.39 insert ignore into journalissuearticles values(18–46); years and group PC+LF comprised 22 male and 12 female patients with a mean age of 25.26 insert ignore into journalissuearticles values(18-47); years. There were no significant differences between groups in terms of age and gender insert ignore into journalissuearticles values(p=0.36, p=0.87, respectively);. The mean operative time was significantly longer for the LF group than the PC+LF group insert ignore into journalissuearticles values(p<0.001);. Recurrence rate was 41.7% in the PC group, compared to 17.6% for the PC+LF group insert ignore into journalissuearticles values(p=0.04);. There were no significant differences between LF and PC+LF group regarding recurrence insert ignore into journalissuearticles values(p=0.43);. Conclusion: The PC+LF combination provided less recurrence compared to PC and shorter operation duration compared to LF.
Keywords : Pilonidal sinus, primary closure, Limberg technique, recurrence, operation time