Objective: In this study, we aim to present the results of two different surgical techniques in sacrococcygeal pilonidal sinus that we operated on.
Materials and Methods: 123 patients who underwent Limberg flap or primary suture for pilonidal sinus by a single surgeon were evaluated prospectively at Bitlis State Hospital between October 2011 and September 2014. Patients were divided into two groups: in group 1 (n=65), rhomboid excision of tissue was applied and wound was closed with Limberg flap. In group 2 (n=58), after excision, wound was primarily closed. All patients were evaluated for postoperative complication and recurrence.
Results: 109 (88.6%) of patients were male and 14 (11.4%) were female, the proportion of male to female patients was 7.8/1. The most common postoperative complications were seroma (n=10) and infection (n=9) in the both groups. Significant difference was detected in both groups for complications (p=0.012). Patients were followed up 14.7±4.4 months in group 1 and 14.6±4.3 months in group 2. Recurrence rate was more common in group 2 (n=8) when compared to group 1 (n=1). A statistically significant difference was determined in both groups for recurrence (p=0.009). There was no differences between groups as far as postoperative pain and time to return work is concerned.
Conclusion: Recurrence was noticed more commonly in the patients with primary repair compared to Limberg flap repair in this study. No significant difference in terms of postoperative pain and time to return to work being found. We arrived to the conclusion that Limberg flap is a good technique for the repair of pilonidal sinus disease due to less recurrence rate and infection rate.
Key words: Pilonidal Sinus; Limberg Flap; Complication.
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