title: Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease.
abstract: OBJECTIVE
  In this study, we investigated whether there is a factor that can aid determi nation of the preferred technique by comparing the early and late results of two different surgical techniques for the treatment of pilonidal sinus.
  
  
  METHODS
  The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively.
  
  
  RESULTS
  The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001).
  
  
  CONCLUSIONS
  The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients' employment (or position in working life) must be considered when determining the most appropriate surgical technique.
authors.affiliation: Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Altintoprak
authors.forename: Enis
authors.initials: E
authors.lastname: Dikicier
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Arslan
authors.forename: Taner
authors.initials: T
authors.lastname: Ozkececi
authors.forename: Gokhan
authors.initials: G
authors.lastname: Akbulut
authors.forename: Osman Nuri
authors.initials: ON
authors.lastname: Dilek
keywords: Hyaluronate membrane; Limberg flap; Pilonidal sinus; V-Y flap
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