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.
Abd El-Aziz, A. S., Nafea, M. A. E., & Abd El-Hafiz, A. E. H. (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
MLA
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
HARVARD
Abd El-Aziz, A. S., Nafea, M. A. E., Abd El-Hafiz, A. E. H. (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
VANCOUVER
Abd El-Aziz, A. S., Nafea, M. A. E., Abd El-Hafiz, A. E. H. 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
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