Title: A Prospective Study and Clinical Trial Comparing Modified Limberg Transposition Flap Reconstruction with Excision and Primary Closure in the Treatment of Uncomplicated Sacrococcygeal Pilonidal Sinus

Authors: Atul Kumar Vyas, Sanjay Patidar, Kaushlendra Singh Narwariya, Krishna Pratap Singh, Abhinav Rathi, Rahul Jain

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.146

Abstract

Aim: The aim of this study was to compare surgical procedures for treatment of uncomplicated pilonidal disease between modified Limberg flap procedure with excision and primary closure.

Study Design: Prospective study.

Place and Duration: This study was conducted in Surgery Department at the Index Medical College Hospital and Research Centre during the period from August 2013 to November 2016.

Methods: This study was conducted on 62 patients with uncomplicated sacrococcygeal pilonidal disease that were alternatively allocated into two groups: group I underwent modified Limberg flap procedure; group II underwent excision and primary closure. The duration of operation, postoperative pain, duration of hospital stay, duration of incapacity for work, postoperative complications and postoperative recurrence were recorded.

Results: Duration of operation was longer in group I than in group II. However, postoperative pain was less, time to resumption of work shorter and postoperative complications were significantly fewer in group I, duration of hospital stay were same for both group I and II, during follow up period of 12 months for both group I and II.

Conclusion: Wide excision with a modified Limberg transposition flap reconstruction is a very effective procedure to operate uncomplicated pilonidal sinus, associated with a low complication rate, short hospitalization and disability and a low recurrence rate.

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Corresponding Author

Atul Kumar Vyas

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