Abd El-Aziz, A., Nafea, M., Abd El-Hafiz, A. (2019). Surgical Reconstruction after Excision of Pilonidal Sinus with Modified Limberg Transposition Flap. The Egyptian Journal of Hospital Medicine, 77(4), 5392-5398. doi: 10.21608/ejhm.2019.58014
Ahmed Shawky Abd El-Aziz; Mohammed Abd El-Aal Nafea; Abd El-Hafiz Hosny Abd El-Hafiz. "Surgical Reconstruction after Excision of Pilonidal Sinus with Modified Limberg Transposition Flap". The Egyptian Journal of Hospital Medicine, 77, 4, 2019, 5392-5398. doi: 10.21608/ejhm.2019.58014
Abd El-Aziz, A., Nafea, M., Abd El-Hafiz, A. (2019). 'Surgical Reconstruction after Excision of Pilonidal Sinus with Modified Limberg Transposition Flap', The Egyptian Journal of Hospital Medicine, 77(4), pp. 5392-5398. doi: 10.21608/ejhm.2019.58014
Abd El-Aziz, A., Nafea, M., Abd El-Hafiz, A. Surgical Reconstruction after Excision of Pilonidal Sinus with Modified Limberg Transposition Flap. The Egyptian Journal of Hospital Medicine, 2019; 77(4): 5392-5398. doi: 10.21608/ejhm.2019.58014
Surgical Reconstruction after Excision of Pilonidal Sinus with Modified Limberg Transposition Flap
General Surgery Department, Faculty of Medicine, Al-Azhar University
Abstract
Background: Pilonidal sinus is a common infectious process which occurs in buttocks and sacral area which involves a wide range of symptoms that are different from an asymptomatic sinus to acute and chronic sinus track. Aim of the work: The aim of the study was to evaluate the outcome of modified Limberg transposition flap in surgical reconstruction after excision of pilonidal sinus. Patients and Methods: This prospective study was conducted at the Department of General Surgery, Al-Azhar University Hospitals (Al-Hussin & Sayed Galal hospitals). This study was carried out on 30 consecutive patients with primary non recurrent sacrococcygeal pilonidal sinus from 11/2018 to 6/2019 to allow a minimum follow-up period of at least 5 months for the last case operated upon. Results: Operative time and postoperative pain with mean operative time 47.37 ± 5.67, postoperative pain: 18 patients (60%) with mid pain, 10 patients (33.3%) with moderate pain, only 2 (6.7%) with severe pain. The complications among study group were 4 patients (13.3%) with wound seroma, 3 patients (10%) with wound hematoma, 3 patients (10%) with wound infection, 2 patients (6.7%) with wound gapping, only one patient (3.3%) with flap necrosis. The mean time for wound healing is 20.57 ± 5.72, 17 patients (56.7%) less than 20 days and 13 patients (43.3 %) more than 20 days, mean hospital stay is 3.63 ± 0.85, 17 patients (56.7%) = 3 days hospital stay and 13 patients (43.3%) more than 3 days hospital stay. Conclusion: Surgical reconstruction after excision of pilonidal sinus with modified Limberg transposition flap is an effective method for the management of pilonidal disease, especially when dealing with recurrent pilonidal sinus.