title: A comparison of surgical outcome of fasciocutaneous V-Y advancement flap and Limberg transposition flap for recurrent sacrococcygeal pilonidal sinus disease.
abstract: OBJECTIVE
  The aim of this study was to compare the surgical outcome of fasciocutaneous V-Y advancement flap and limberg transposition flap used to treat recurrent sacrococcygeal PSD.
  
  
  METHODS
  A total of 58 patients with recurrent pilonidal sinus who underwent surgery were evaluated retrospectively between January 2008 to December 2013. Fasciocutaneous V-Y advancement flap was performed in 25 patients (Group VYF), and limberg transposition flap repair was performed in 33 patients (Group LTF). Patient demographics, operative and postoperative outcomes were recorded then retrospectively analyzed.
  
  
  RESULTS
  The mean age (p = 0.69), sex ratio (p = 0.48), and concomitant diseases (p = 0.98) were not statistically different when compared the VYF with LTF groups. Mean operative time was 55 ± 19 min for the LTF group and 75 ± 25 min for the VYF group (p = 0.01). When length of hospital stay were compared, there was a significant difference between the groups (p = 0.01). Return to work was carryed out after a mean of 23 ± 1.1 days in VYF group and 16.7 ± 1.2 days in LTF group, which is significantly different (p < 0.0004). Between the groups, there was no significantly different regarding surgical complication and recurrent rate. Only one recurrence (4%) was found in VYF group.
  
  
  CONCLUSIONS
  Limberg transposition flap may be use in recurrent cases of PSD, because of the lower recurrence rate and less hospital stay time, early return to work. Most important advantage of fasciocutaneous V-Y advancement flap is the ability to close larger defects in recurrent cases.
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey. Electronic address: drbahadir01@gmail.com.
authors.forename: Bahadır
authors.initials: B
authors.lastname: Öz
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Akcan
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Ertan
authors.initials: E
authors.lastname: Emek
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Muhammed
authors.initials: M
authors.lastname: Akyüz
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Erdogan
authors.initials: E
authors.lastname: Sözüer
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Hızır
authors.initials: H
authors.lastname: Akyldız
authors.affiliation: Department of Surgery, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Hüsnü
authors.initials: H
authors.lastname: Aydın
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010864:Pilonidal Sinus / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult
keywords: fasciocutaneous V–Y advancement flap; limberg transposition flap; recurrent sacrococcygeal pilonidal sinus disease