Title: Rhomboid Excision and Limberg Flap for Pilonidal Sinus Disease: A Clinical Study
Author: Dr TRV Wilkinson, Dr Mahendra K. Chauhan, Dr Rama Fanandrakumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.13
Abstract
Introduction: Pilonidal sinus is an acquired disease of young adults especially males in the age group of 15 to 40 years. The multiplicity of treatments available for this condition (surgical /non surgical) are testimony to the lack of satisfaction found with each.
Objectives: To study the advantages of rhomboid excision and Limberg flap in pilonidal sinus disease
Material and Methods: It was the prospective study of 25 patients who were diagnosed to have pilonidal sinus (primary or recurrent). All the patients included in the study underwent rhomboid excision and Limberg flap by the same team. The post operative course of each patient was studied. Immediate complications of the procedure like wound infection, seroma, post operative pain and hospitalization time were recorded. Patients were followed up to 6 months for recurrence.
Result: Males were predominantly affected and female to male ratio 1:7. Mean age of the patient were 32.4 yrs. Most of the patients involved in work pertaining to prolonged sitting. Out of 25 patients, 4 patient developed wound infection. Flap tip necrosis was observed in one patient and prolonged drainage was present in 3 patients (average 18 days).We encounter one recurrence in 6th month follow up.
Conclusion: Primary and recurrent pilonidal sinus is very effectively managed by this procedure with minimum complications and very low recurrence rate.
Keywords: Pilonidal sinus, Rhomboid excision, Limberg flap, wound infection.
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