Elliptical excision with midline primary closure versus rhomboid excision with limberg flap reconstruction in sacrococcygeal pilonidal disease

SUSHIL KUMAR; ASJAD KARIM BAKHTEYAR; BINOD KUMAR; DR ZAMURRAD PARVEN

Volume : VIII, Issue : II, February - 2019

Elliptical excision with midline primary closure versus rhomboid excision with limberg flap reconstruction in sacrococcygeal pilonidal disease

Sushil Kumar, Asjad Karim Bakhteyar, Binod Kumar, Dr Zamurrad Parven

Abstract :

Aim: To compare elliptical excision with primary midline closure and rhomboid excision with limberg flap reconstruction techniques for the sacrococcygeal pilonidal sinus. Materials methods: This is a prospective study carried out at Patna medical college & hospital, Patna over 60 patients of of sacrococcygeal pilonidal sinus during the period of Feuary 2016 to January 2018..the patients were assinged randomly into two groups group A patients (30/60) were operated by using rhomboid excision with limberg flap reconstruction whereas group B patients (30/60) were operated by using elliptical excision with primary midline closure. Data was taken and compared with respect to operative time taken, immediate post -op complication, post- operative pain (Vas Scale) recurrence rate. Results & conclusion: Length of hospital stay and postoperative complications in two groups were compared. Duration of hospital stay (P < 0.001) and time to resumption of work (P < 0.001) was less for group B, and postoperative complications were fewer in group B (P < 0.05), during the follow up over 2 years period none had recurrence in group B while 2 patients developed recurrence in group A. It was found that rhomboid excision with limberg flap reconstruction is better than elliptical excision with primary closure