Eyedrop-shaped, modified Limberg transposition flap in the treatment of pilonidal sinus disease.
BACKGROUND
Pilonidal sinus disease is an inflammatory disease seen in the intergluteal region, which is a commonly encountered problem in surgical practice that mostly affects young people. The aim of this study is to assess the effectiveness of the modified Limberg flap technique with eyedrop excision in the treatment of pilonidal sinus disease.


METHODS
The study population consisted of 91 patients with pilonidal disease in the sacrococcygeal region who underwent operation between June 2010 and December 2012. All cases underwent eyedrop-shaped excision and modified Limberg flap reconstruction.


RESULTS
The mean operative time was 41.2 ± 6.7 minutes. All patients were followed up for >8 months, and the mean follow-up period was 13.1 ± 3.7 months. There were three wound dehiscences because of fecal contamination and riding cycle on postoperative Day 5. Seroma and flap echimosis were observed in two and four cases, respectively. Five patients experienced recurrence in this series (4.5%).


CONCLUSIONS
The results of the present study suggest that use of the eyedrop-shaped modified Limberg flap is associated with a lower maceration and recurrence rate when compared with the available data on the use of the Limberg flap. Flap necrosis and wound healing was better, and the routine use of drains did not affect the wound-related complications and recurrence rates.
General Surgery Department, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Electronic address: drmehmetzafer@yahoo.com.
Mehmet Zafer
MZ
Sabuncuoglu
Isparta State Hospital Anesthesia and Critical Care Unit, Isparta, Turkey.
Aylin
A
Sabuncuoglu
Division of Trauma and Acute Care Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Ozgur
O
Dandin
General Surgery Department, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
Mehmet Fatih
MF
Benzin
General Surgery Department, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
Girayhan
G
Celik
General Surgery Department, Ankara Numune Education and Research Hospital, Ankara, Turkey.
Isa
I
Sozen
General Surgery Department, Bozyaka Education and Research Hospital, Izmir, Turkey.
Recep
R
Cetin
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010864:Pilonidal Sinus / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012445:Sacrococcygeal Region; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult
Limberg flap; modified Limberg; pilonidal sinus