Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences

Introduction: Pilonidal sinus is a common disease. Various surgical techniques for management of sacrococcygeal pilonidal sinus have been described. Among them, the most commonly used is the rhomboid excision with the Limberg flap. With this technique of flattening the natal cleft and tension-free...

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Autores principales:	Sanjaya Paudyal, Shanta Bir Maharjan, Niraj Giri, Samayukta K.C.
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2019
Materias:	Pilonidal Sinus Limberg Flap Sacrococcygeal Pilonidal Sinus Surgery RD1-811
Acceso en línea:	https://doaj.org/article/15ac2ad93e8d4114b7904d87b875d81b
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spelling	oai:doaj.org-article:15ac2ad93e8d4114b7904d87b875d81b2021-12-05T19:15:52ZRhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences10.3126/jssn.v22i1.287091815-39842392-4772https://doaj.org/article/15ac2ad93e8d4114b7904d87b875d81b2019-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/28709https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Pilonidal sinus is a common disease. Various surgical techniques for management of sacrococcygeal pilonidal sinus have been described. Among them, the most commonly used is the rhomboid excision with the Limberg flap. With this technique of flattening the natal cleft and tension-free repair is made using a wide, well-vascularized flap. It is reported the best treatment methods, with 0-16 % of surgical area-related complications and a recurrence rate of 0-5 %. We conducted a study to evaluate the patient’s profile and outcomes of the patients of pilonidal sinus treated with rhomboid excision and Limberg flap reconstruction at our center. Methods: Data were recorded retrospectively by reviewing the charts of patients who underwent rhomboid excision and Limberg flap operation for sacrococcygeal pilonidal sinus from September 2015 to September 2019. Results: Thirty-four patients were included in the study. Twenty-nine (85.4%) were males and 5 (14.7%) were females. The mean age was 25.29 years (range 17-40 years). Mean hospital stay was 4.5 days (range 3 – 7 days. Nine (26.5%) patients had surgical site infections. Two patients (5.9%) had a recurrence. Conclusion: Limberg flap for reconstruction after rhomboid excision of pilonidal sinus is an effective and feasible technique with good outcome. Sanjaya PaudyalShanta Bir MaharjanNiraj GiriSamayukta K.C.Society of Surgeons of NepalarticlePilonidal SinusLimberg FlapSacrococcygeal Pilonidal SinusSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 22, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pilonidal Sinus Limberg Flap Sacrococcygeal Pilonidal Sinus Surgery RD1-811
spellingShingle	Pilonidal Sinus Limberg Flap Sacrococcygeal Pilonidal Sinus Surgery RD1-811 Sanjaya Paudyal Shanta Bir Maharjan Niraj Giri Samayukta K.C. Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
description	Introduction: Pilonidal sinus is a common disease. Various surgical techniques for management of sacrococcygeal pilonidal sinus have been described. Among them, the most commonly used is the rhomboid excision with the Limberg flap. With this technique of flattening the natal cleft and tension-free repair is made using a wide, well-vascularized flap. It is reported the best treatment methods, with 0-16 % of surgical area-related complications and a recurrence rate of 0-5 %. We conducted a study to evaluate the patient’s profile and outcomes of the patients of pilonidal sinus treated with rhomboid excision and Limberg flap reconstruction at our center. Methods: Data were recorded retrospectively by reviewing the charts of patients who underwent rhomboid excision and Limberg flap operation for sacrococcygeal pilonidal sinus from September 2015 to September 2019. Results: Thirty-four patients were included in the study. Twenty-nine (85.4%) were males and 5 (14.7%) were females. The mean age was 25.29 years (range 17-40 years). Mean hospital stay was 4.5 days (range 3 – 7 days. Nine (26.5%) patients had surgical site infections. Two patients (5.9%) had a recurrence. Conclusion: Limberg flap for reconstruction after rhomboid excision of pilonidal sinus is an effective and feasible technique with good outcome.
format	article
author	Sanjaya Paudyal Shanta Bir Maharjan Niraj Giri Samayukta K.C.
author_facet	Sanjaya Paudyal Shanta Bir Maharjan Niraj Giri Samayukta K.C.
author_sort	Sanjaya Paudyal
title	Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
title_short	Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
title_full	Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
title_fullStr	Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
title_full_unstemmed	Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences
title_sort	rhomboid excision and limberg flap operation for managing pilonidal sinus: our experience at patan hospital, patan academy of health sciences
publisher	Society of Surgeons of Nepal
publishDate	2019
url	https://doaj.org/article/15ac2ad93e8d4114b7904d87b875d81b
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_version_	1718371047598718976

Rhomboid excision and Limberg flap operation for managing pilonidal sinus: our experience at Patan Hospital, Patan Academy of Health Sciences

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