Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease

2005 ◽  
Vol 92 (9) ◽  
pp. 1081-1084 ◽  
Author(s):  
T. Akca ◽  
T. Colak ◽  
B. Ustunsoy ◽  
A. Kanik ◽  
S. Aydin
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Primary Closure ◽  
Pilonidal Disease ◽  
Limberg Flap

scholarly journals Excision with primary midline closure compared with Limberg flap in the treatment of sacrococcygeal pilonidal disease: a randomised clinical trial

2019 ◽  
Vol 101 (1) ◽  
pp. 21-29 ◽  
Author(s):  
M Arnous ◽  
H Elgendy ◽  
W Thabet ◽  
SH Emile ◽  
SA Elbaz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hospital Stay ◽  
Recurrence Rate ◽  
Primary Closure ◽  
Randomised Clinical Trial ◽  
Limberg Flap ◽  
Complication Rates ◽  
Cosmetic Results ◽  
Group I ◽  
Group Ii

BackgroundAlthough several surgical techniques for treatment of sacrococcygeal pilonidal sinus (SPND) have been described, there is no consensus on the optimal surgical procedure. In this study we compared excision with primary closure and Limberg flap in the treatment of SPND.MethodsThis was a prospective randomised clinical trial in patients with SPND who were randomly allocated to one of two groups: group I (excision and primary closure) and group II (Limberg flap technique). The primary outcome of the trial was recurrence of SPND whereas postoperative complications, return to work and cosmetic results were the secondary outcomes.ResultsSixty patients were included, with a mean age of 24.1 years and mean body mass index (BMI) of 26.8 kg/m2. Group 1 had significantly shorter operation time than group II. Both groups had similar hospital stay and comparable complication rates (43.3% vs 30%; P = 0.4). Group I had significantly higher recurrence rate (20% vs 0; P < 0.02) and significantly better cosmetic satisfaction score than group II. Being hairy (P = 0.04), positive family history (P = 0.03), diabetes mellitus (P = 0.005) and history of previous surgery for SPND (P = 0.01) were the significant predictors for recurrence.ConclusionsThe Limberg flap is an effective technique for the treatment of SPND with very low recurrence rate and comparable complication rate and hospital stay to excision and primary closure. Excision and primary closure offered the advantages of quicker healing time, earlier resumption of daily activities, better cosmetic results, which may render it more suitable for patients with low risk for recurrence.

Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial

Surgery Today ◽  
2018 ◽  
Vol 49 (3) ◽  
pp. 231-237 ◽  
Author(s):  
Kunihiko Amamo ◽  
Hideyuki Ishida ◽  
Kensuke Kumamoto ◽  
Norimichi Okada ◽  
Satoshi Hatano ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Primary Closure ◽  
Purse String ◽  
Stoma Reversal

Laparoscopic Exploration of Common Bile Duct with Primary Closure Versus T-Tube Drainage: A Randomized Clinical Trial

2009 ◽  
Vol 157 (1) ◽  
pp. e1-e5 ◽  
Author(s):  
Wei-Jie Zhang ◽  
Gui-Fang Xu ◽  
Guo-Zhong Wu ◽  
Jie-Ming Li ◽  
Zhi-Tao Dong ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Randomized Clinical Trial ◽  
Primary Closure ◽  
Tube Drainage ◽  
Laparoscopic Exploration ◽  
T Tube

scholarly journals Correction to: Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial

Surgery Today ◽  
2018 ◽  
Vol 49 (3) ◽  
pp. 238-238
Author(s):  
Kunihiko Amano ◽  
Hideyuki Ishida ◽  
Kensuke Kumamoto ◽  
Norimichi Okada ◽  
Satoshi Hatano ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Primary Closure ◽  
Purse String ◽  
Stoma Reversal
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