Comparison Between Excision With Simple Primary Closure And Limberg’s Flap Reconstruction In Pilonidal Sinus Disease
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Introduction: The ideal treatment for pilonidal sinus should ensure low pain, short hospitalization period, low risk of complication, rapid return to normal activities, and should have a low recurrence rate. The aim of the study is comparison between excision with simple primary closure and excision with limbergs flap reconstruction in pilonidal sinus disease. Materials and Methods: The study was conducted in Government Medical College/Hospital, Anantapuram from January 2015 to October 2017 taking population size as 60, with two groups. Group A including 30 patients undergoing simple excision with primary mid line closure and, Group B including 30 patients undergoing rhomboid excision with LF reconstruction. Operative time, postoperative pain, duration of hospital stay, period off work, postoperative complication were calculated. Results: The duration of OT time was more in group B (46.23±4.34 min) compared with group A (33.76±2.54 min) with p <0.00001. Postoperative pain VAS score (mean) in group A (4.2) is more than group B (2.33) with p value < 0.01. The number of days off work was more in group A (15.76±2.78 days) than group B (13.56±1.67 days) with p < 0.0001. Recurrence was observed in 6 patients (20%) in group A and in 1 patient (3.33%) in group B with p 0.045. Conclusion: In Pilonidal Sinus Disease, excision with LF reconstruction is a very effective procedure in terms of less number of hospital days of stay, less postoperative pain, early return to work, less postoperative complications rates (wound infection, seroma, wound dehiscence) and low recurrence rate.
Authors and Affiliations
Dr. Venkata Rama Bai V, Dr. Ramaswanynaik M
Keywords
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- EP ID EP370787
- DOI 10.9790/0853-1704073844.
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