A comparative study of excision with primary closure versus Limberg flap in pilonidal sinus

Authors

  • Omesh Kumar Meena Department of General Surgery, Safdarjung Hospital, New Delhi, India http://orcid.org/0000-0001-5545-6783
  • Dheer Singh Kalwaniya Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Satya V. Arya Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Manikandan Kuppuswami Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Jaspreet Singh Bajwa Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Ravi S. Pradhan Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Akshay Narayan Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Ranjith Mahadevan Department of General Surgery, Safdarjung Hospital, New Delhi, India
  • Mukesh K. Verma Department of General Surgery, Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195194

Keywords:

Limberg flap, Pilonidal sinus, Visual analog scale

Abstract

Background: The term ‘pilonidal sinus’ describes a condition found in the natal cleft overlying the coccyx which is treated by excision.

Methods: This study is a prospective study held in Department of general surgery, Safdarjung Hospital, New Delhi from October 2014 to April 2016 on 60 patients out of which 30 were controls (excision with primary closure) and 30 were taken as case (Limberg flap). Post-operative follow up was done till 6 months and complications were noted. The data was tabulated and SPSS version 17 was used for statistics.

Results: Pilonidal sinus disease is common in age group 20 years and above and twice more common in males than females. Although operating time in Limberg flap is little more as compared to primary closure but insignificant. The post-operative pain in the long term follow up is less in the Limberg flap procedure, although in the initial post-operative period it is slightly higher as compared to primary closure. In Limberg flap procedure, post-operative complications like stitch line infection, seroma formation, wound dehiscence are low as compared to primary closure. Limberg flap require 2.27±0.52 days hospital stay as compared to 3.57±1.43 days in primary closure due to less post-operative complications. Recurrence rate is 3.33% in Limberg flap as compared to 26.67% in primary closure group.

Conclusions: We recommend the Limberg flap method for primary pilonidal disease with low morbidity rates over primary closure.

Author Biography

Omesh Kumar Meena, Department of General Surgery, Safdarjung Hospital, New Delhi, India

ASSISTANT PROFESSOR

DEPARTMENT OF GENERAL SURGERY

SAFDARJUNG HOSPITAL AND VARDAMAN MAHAVIR MEDICAL COLLEGE

NEW DELHI

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Published

2019-11-26

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Original Research Articles