“Limberg’s vs Modified Limberg’s”: Outcomes in Pilonidal Sinus Surgery
DOI: 10.21522/TIJPH.2013.12.03.Art028
Authors : Miryalax K Y Niharika, Pola Govardhan Kumar, P. Sreedevi, S. Aswanth Prabhu
Abstract:
Pilonidal sinus is a
chronic and debilitating condition requiring effective surgical treatment.
Various surgical have been in use for treating pilonidal sinus.However
controversies still exist. Limberg's Rhomboid flap reconstruction is widely
used technique in pilonidal sinus disease. There were reports stated tht
midline of anal region getting infected, macerated and recurrence. To compare
outcomes of Limberg's and Modified Limberg's Rhomboid flap reconstruction
procedures in patients with Pilonidal sinus. A case series report of 15
patients who underwent surgical treatment using either of the procedures in our
institution. Modified Limberg's showed improved wound closure, reduced wound
dehiscence and no recurrence. Mean hospital stay was less, and Time spent in
the toilet was also significantly more when compared with Traditional
Limberg’s. The Modified Limberg's procedure offers improved surgical outcomes,
less recurrence and reduced complications. Surgeons should consider using the
Modified Limberg's procedure as the primary treatment option for sacrococcygeal
pilonidal sinus especially in recurrent cases. Further studies are needed to
establish its superiority.
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