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KMID : 0371320130850050236
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Journal of the Korean Surgical Society
2013 Volume.85 No. 5 p.236 ~ p.239
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Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, in terms of quality of life and complications
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Karaca Ahmet Serdar
Ali Ridvan
Capar Muzaffer
Karaca Sezar
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Abstract
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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.
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KEYWORD
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Complication, Quality of life, Pilonidal sinus
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