title: Comparison of Z-plasty, limberg flap, and asymmetric modified Limberg flap techniques for the pilonidal sinus treatment: review of literature.
abstract: OBJECTIVE
  The aim of this study is to analyze and compare the early complications and recurrent results of Z-plasty, Limberg flap, and asymmetric modified Limberg flap both demographically and clinically.
  
  
  METHODS
  Between March 2009 and February 2010, a total of 45 patients with pilonidal sinus were enrolled in this study. 10 of 45 patients (22.2%) required Z-plasty; 24 patients (53.3%) had surgery with Limberg flap closure, and 11 patients (24.4%) had asymmetric modified Limberg flap.
  
  
  RESULTS
  A total of 45 patients were included in the study (mean age: 23.36 > +/- 3.4 (range, 20-33) years). When we compared duration of operation and the length of stay in hospital, no statistically significant findings were detected (p = 0.595 and p = 0.23, respectively). The mean follow-up was 22.4 (range, 18-24) months. Recurrence was not seen in any of the patients.
  
  
  CONCLUSIONS
  Our results were similar: the comparison of the three techniques revealed no significant differences regarding early complications and recurrence.
authors.forename: Baris Rafet
authors.initials: BR
authors.lastname: Karakas
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D010864:Pilonidal Sinus / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D013524:Surgical Flaps; D013536:Suture Techniques; D055815:Young Adult