A study of role of limberg flap for Sacro-Coccygeal pilonidal sinus
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 3
Abstract
Background: Sacro-Coccygeal pilonidal sinus is a common disease of the adult age group, especially male population, causing significant morbidity from both disease and surgery done for the same. It is essentially a cleavage between the buttocks (i.e., natal cleft), and diagnosis is made by identifying the epithelialized follicle opening (i.e., sinus) Aims and Objectives: Study of Role of Limberg Flap for Sacro-Coccygeal Pilonidal Sinus. Materials and Methods: After The Approval of Ethical Committee, This study was conducted at the surgery departments Of the Tertiary health care center from March 2013 to April 2015. Total 62 Patients who were having complains for recurrent pilonidal were selected for the study while those patients who didn’t given consent and were having terminally ill, severe immune-compromised status were excluded from the study. Here the Patients were randomly divided into the (Limberg flap) Group A and KF group (Karydakis flap) Group B two different treatment groups. All patients were prospectively evaluated in terms of gender and age, postoperative length of hospital stay, postoperative complications ;wound dehiscence, infection, hematoma, and recurrence. Result: Except the Average age which was comparable to each other i.e. 48 ±1.5 Yrs. And 49±2.1 Yrs. All other Characteristics like Average Duration of Operation (min) was 45± 2.5 and 50.2±1.45 ; VAS (Pain Score) 3±1.5 and 5± 2.5 ; Healing (Days) 7± 1.1 and 9±3.4; Duration of hospitalization(Days) 6± 2.3 and 8±2.4 was significantly Less in Group A as compared to Group B.( P<0.001) Overall the Complications like Wound infection was more in Group B i.e. 22.58% as compared to 9.67% in Group A ; Also Flap edema 29.03% and 16.12 %; Hematoma-38.70% and 25.80% ; Wound dehiscence -25.80% and 12.90% ; Recurrence-19.35% and 6.45% Respectively in Group B and Group A. Conclusion: From our study it was Observed that Limberg Flap technique was superior than Karydakis flap technique with respect to less -Average Duration of Operation, VAS, Healing, Duration of hospitalization and Less complications like Flap edema, Hematoma, Wound dehiscence, Recurrence.
Authors and Affiliations
Sachin Shashikant Ingale, Jaysesh Shaligram Khadse
Keywords
Related Articles
- EP ID EP481896
- DOI 10.26611/1063312
- Views 166
- Downloads 0
A study of band ligation versus hemorhoidectomy for the treatment of Grade III hemorhoids at tertiary health care centre
Background: Hemorrhoids are among the commonest surgical ailments of anorectal region seen in the outpatient department. Aims and Objectives: A comparative study of band ligation versus hemorhoidectomy for the treatment...
Assessment of proximal extent of spread in squamous cell carcinoma esophagus
Background: Carcinoma of the esophagus is a devastating disease with adverse effects on swallowing and quality of life. The two most important prognostic factors for esophageal cancer are the depth of penetration and the...
Clinical profile of patients with inguinal hernia and benign prostatic enlargement: A descriptive study from rural Maharashtra
Background: In elderly age group we come across benign enlargement of prostate, leading to chronic straining during micturition causing increased intra abdominal pressure leading to weakness in the inguinal musculature c...
Prospective study of clinical profile of Fournier’s gangrene
Background: Fournier’s Gangrene is a surgical emergency, a nightmare to surgeon and surgical staffs. The sudden and spectacular swelling of the scrotum followed by its sloughing and the baring of the testicles are dramat...
Incidence, management and outcome of acid ingestion poisoning at tertiary care hospital
Background: Acute poisoning is a medical emergency. Its pattern and outcome varies from place to place. It is important to know the nature, outcome and severity of acid poisoning cases in order to make appropriate preven...