Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, in terms of quality of life and complications.
10.4174/jkss.2013.85.5.236
- Author:
Ahmet Serdar KARACA
1
;
R?dvan ALI
;
Muzaffer CAPAR
;
Sezar KARACA
Author Information
1. Department of General Surgery, Bartin State Hospital, Bartin, Turkey.
- Publication Type:Original Article
- Keywords:
Complication;
Quality of life;
Pilonidal sinus
- MeSH:
Esthetics;
Hospitalization;
Humans;
Oxalates;
Pilonidal Sinus*;
Quality of Life*;
Recurrence;
Surgical Procedures, Minor;
Walking
- From:Journal of the Korean Surgical Society
2013;85(5):236-239
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to compare two different treatment methods for pilonidal sinus with respect to complications, recurrence, and patient quality of life. METHODS: Five hundred forty-nine patients who underwent surgery for pilonidal sinus between January 2007 and August 2012 were included in this study. The patients were classified into group I (excision and primary closure) and group II (Limberg flap). RESULTS: There was no significant difference in the mean age and gender of the patients between groups I and II (P = 0.512 and P = 0.472). The duration of surgical operation was lower in group I (P < 0.001). There was no significant difference in hospitalization time after surgery, minor complications, and recurrence between the groups (P = 0.674, P = 1.000, and P = 1.000, respectively). The time required for pain-free walking, urinating, and returning to work was significantly lower in group II (P < 0.001, P < 0.001, and P < 0.001, respectively). The patients in group I stated that they were more satisfied in terms of aesthetics (P < 0.001). CONCLUSION: According to the results of this study, Limberg flap method has better outcomes compared with excision and primary closure. Therefore, we recommend Limberg flap for treatment of pilonidal sinus disease.
