Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials

2018 ◽  
Vol 403 (5) ◽  
pp. 547-554 ◽  
Author(s):  
Dimitrios Prassas ◽  
Thomas-Marten Rolfs ◽  
Franz-Josef Schumacher ◽  
Andreas Krieg
Keyword(s):  
Randomized Controlled Trials ◽  
Pilonidal Sinus ◽  
Meta Analysis ◽  
Pilonidal Sinus Disease ◽  
Controlled Trials ◽  
Limberg Flap ◽  
Flap Reconstruction ◽  
Sinus Disease ◽  
Randomized Controlled

scholarly journals The limberg flap reconstruction – the optimal surgery for pilonidal sinus disease

2016 ◽  
Vol 7 (3) ◽  
pp. 271-275
Author(s):  
Ramu Shapur Srihari ◽  
Appaji Mandya Naveen ◽  
Harinatha Sreekar
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Sinus Disease ◽  
Limberg Flap ◽  
Flap Reconstruction ◽  
Sinus Disease

scholarly journals A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

2019 ◽  
Vol 16 (5) ◽  
pp. 1119-1135 ◽  
Author(s):  
Charline Berthier ◽  
Emilie Bérard ◽  
Thomas Meresse ◽  
Jean‐Louis Grolleau ◽  
Christian Herlin ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Meta Analysis ◽  
Pilonidal Sinus Disease ◽  
Flap Reconstruction ◽  
Open Technique ◽  
Sinus Disease

scholarly journals THE OUTCOME OF LIMBERG FLAP RECONSTRUCTION PROCEDURE FOR PRIMARY NATAL CLEFT PILONIDAL SINUS DISEASE: FOUR YEARS’ EXPERIENCE AT A TEACHING HOSPITAL IN PAKISTAN

2021 ◽  
Vol 31 (03) ◽  
pp. 123-127
Author(s):  
Wasif Majeed Chaudhry ◽  
Afza Saleem ◽  
Maryam Jamil ◽  
Muhammad Saddique Zishan ◽  
Adnan Sadiq Butt ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Sinus Disease ◽  
Limberg Flap ◽  
Flap Reconstruction ◽  
Reconstruction Procedure ◽  
Natal Cleft ◽  
Sinus Disease ◽  
Duration Of Hospital Stay ◽  
The Mean ◽  
Primary Healing

Background: Natal cleft pilonidal sinus disease is known for its high recurrence rate after surgery. Different surgical procedures are being used for its treatment and these vary from wide excision followed by healing with secondary intention to excision followed by reconstruction with a flap. Limberg flap reconstruction procedure has been used by many surgeons as their primary choice owing to its low recurrence rate and less postoperative complications. Objective: The objective of this study was to assess the outcome of Limberg flap reconstruction procedure in patients with primary natal cleft pilonidal sinus disease.   Methods: This descriptive case series was conducted at Ghurki trust teaching hospital, Lahore, Pakistan, between January 2015 to December 2018. 110 consecutive patients with primary natal cleft pilonidal sinus disease were included in this study. Informed consent was taken from these patients and all patients underwent Limberg flap reconstruction procedure. The evaluated outcomes of this procedure included duration of hospital stay, postoperative pain, primary healing,  surgical site Infection, seroma formation, flap necrosis and, recurrence.                                                                                     Results: The patients age ranged between 18 years to 60 years. The mean age was 26.6 ±8.6 years. 73 patients (66.36 %) were males and 23 patients (33.63%) were females. The duration of disease ranged between 1 month to 6 months with a mean of 3.7±1.7 months. The mean operating time was 47.50±5.14 minutes. The mean duration of hospital stay was 1.87±0.80 days. The mean postoperative pain score calculated by the visual analogue scale (VAS) twenty-four hours after the surgery was 3.45. 95 patients (86.36%) had complete primary healing without any complication. 9 patients (8.18%) had a surgical site infection and 6 patients (5.45 %) had seroma formation. No patient suffered from flap necrosis. 2 patients (1.81%) who had complete primary healing presented with recurrence of the disease within six months of the procedure with a period of one year of follow-up designated for every patient. Conclusion: Limberg flap reconstruction procedure is a safe and efficacious treatment option for primary natal cleft pilonidal sinus disease because it provides early complete primary healing in most patients, and shortens the duration of hospital stay thus reducing the cost of treatment. The pain scores fall in the moderate post-operative pain score category and the complication rates and the recurrence rates are very low.

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