Comparison of excision and primary closure (primary closure) versus modified Limberg flap (modified limberg flap) repair in the treatment of sacrococcygeal pilonidal sinus disease (sacrococcygeal pilonidal sinus disease)

Abstract

Objective: To compare excision with primary closure and excision with modified limberg flap repair in the treatment of sacrococcygeal pilonidal sinus disease. Design: Quasi experimental study. Setting and duration of study: Surgical Unit-I at Allied Hospital, PMC, Faisalabad, from April 2011 to July 2012. Methods: A total of 60 patients with sacrococcygeal pilonidal sinus disease, 30 underwent Excision with primary closure, and 30 had Excision of sinus with modified limberg flap repair.

Results: Though modified limberg flap groupwas associated with comparatively longer operative time (48.57 vs 32.57 minutes) and longer hospital stay (5.90 vs 4.17 days) . However, post op analgesic requirement in either groups was comparable (33.3% vs 40%). There was a significant difference in recurrence rate in both groups (20% vs 3.3%). Conclusion: For the surgical treatment of sacrococcygeal pilonidal sinus disease, modified limberg flap repair is a better technique due to less chances of recurrences, in maiaging sacrococcygeal pilonidal sinus disease.