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)

  • Durr I Chaman Senior Registrar, Surgical Unit-I Allied Hospital, Faisalabad
  • Muhammad Akram Assistant Professor, Surgical Unit-I PMC/Allied Hospital, Faisalabad
  • Faisal Bilal Lodhi Associate Professor, Surgical Unit-I PMC/Allied Hospital, Faisalabad
  • Abid Rashid Prof. of surgery, Independendent Medical College, Faisalabad
  • Sumaira Kanwal Assistant Professor, Surgical Unit-I PMC/Allied Hospital, Faisalabad
  • Haseeb Ahmed Khan Medical officer, Nawaz Sharif Social Security Hospital, Lahore
Keywords: Pilonidal Sinus, Excision, Primary closure, Modified Limberg Flap repair

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.

Published
2019-03-31
How to Cite
Chaman, D. I., Akram, M., Lodhi, F. B., Rashid, A., Kanwal, S., & Khan, H. A. (2019). 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). Annals of Punjab Medical College, 8(1), 28-33. https://doi.org/10.29054/apmc/2014.374