A COMPARATIVE STUDY OF RHOMBOID EXCISION AND LIMBERG FLAP WITH EXCISION AND PRIMARY CLOSURE IN CHRONIC PILONIDAL SINUS FROM A SOUTH INDIAN TERTIARY HOSPITAL.

Jayan N P; Santhosh Kumar R; Siddharth Matad

Volume : VIII, Issue : VI, June - 2018

A COMPARATIVE STUDY OF RHOMBOID EXCISION AND LIMBERG FLAP WITH EXCISION AND PRIMARY CLOSURE IN CHRONIC PILONIDAL SINUS FROM A SOUTH INDIAN TERTIARY HOSPITAL.

Jayan N P, Santhosh Kumar R, Siddharth Matad

Abstract :

Introduction: Pilonidal sinus is known to be a simple condition that refers to a tract or cavity that contains loose hair and is associated with repeated infection and abscess formation. Its incidence is higher in males than females and increase with obesity and hairy skin.

Aims and objectives: To compare the outcome of rhomboid excision with modified Limberg flap and excision and primary closure for the treatment chronic pilonidal sinus and too compare various postoperative parameters

Materials and methods: Comparative study done at Department of General surgery, Government Medical College, Kozhikode. Two groups – Each with 60 patients. All patients with chronic pilonidal sinus admitted through General Surgery OPD wiling for the study & older than 18yrs were included. Patients with Type II diabetes mellitus, hypertension, coronary artery disease, history of previous surgery for pilonidal sinus.

Results: Literature has documented a recurrence rate of 0–3% for Limberg flap against a significantly high recurrence of 7–42% for primary closure. Outcome of our study in terms of recurrence of the sinus is the same as reported by other studies, namely, 18.3% recurrences for the primary closure group against 5% recurrence of the Limberg flap group which was significant (p<0.05).

Conclusion: According to the results of our study, Limberg flap method has better to decrease recurrence and postoperative morbidity in compared to simple primary midline closure. Therefore, we recommend Limberg flap for treatment of pilonidal sinus disease.