Comparison of V-Y Flap and Limberg Flap Methods in Pilonidal Sinus Surgery
Journal Title: Turkish Journal of Colorectal Disease - Year 2019, Vol 29, Issue 2
Abstract
Aim: The aim of this study was to compare the advantages of V-Y flap and Limberg flap techniques in the surgical management of complicated pilonidal sinus disease requiring extensive excision, and to review the superiorities of each other in the light of the literature. Method: The study included 100 patients who were hospitalized with the diagnosis of pilonidal sinus disease and who were planned to undergo flap reconstruction due to the diameter of the defect. Patients were randomly divided into two groups as A and B. Fifty patients in group A underwent V-Y flap and 50 patients in group B underwent Limberg flap. Both groups were prospectively followed-up in terms of complications, recovery times, workforce losses, patient satisfaction and 2-year recurrence rates, and the findings were compared statistically. Results: Demographic characteristics, complaints and clinical findings of both groups were similar. Although postoperative wound infection rates were similar (26% vs. 28%; p>0.05), wound dehiscence was more common in the Limberg group (36% vs. 26%; p<0.05). The wound healing process and workforce losses were longer in the Limberg flap group, but the differences were not statistically significant. There were no differences between the groups in terms of patient satisfaction and recurrence in the 2-year follow-up period. Conclusion: The long-term recurrence rates of V-Y flap and Limberg flap techniques are similar. Wound dehiscence is significantly less in V-Y flap technique. According to the results of this study, V-Y flap method following extensive tissue loss due to excision can be considered as a good alternative.
Authors and Affiliations
Ramazan Sarı, Soner Akbaba, Rıza Haldun Gündoğdu, Mustafa Ömer Yazıcıoğlu
Keywords
Related Articles
- EP ID EP48013
- DOI 10.4274/tjcd.galenos.2018.10437
- Views 331
- Downloads 0
Iatrogenic Colon Perforation Due to Colonoscopy Presenting as a Diffuse Subcutaneous Emphysema
Colonoscopy is a procedure frequently used for the screening, diagnosis and treatment of colorectal diseases. While colonoscopy is generally accepted as a safe procedure, it may lead to morbidity and mortality with serio...
Robotic Ventral Mesh Rectopexy: Where do we Stand?
This paper aims to review the current status of robotic ventral mesh rectopexy (VMR). The articles reporting the outcomes of patients who underwent robotic VMR were reviewed and evaluated. Complications of robotic VMR ra...
Diagnostic Value of Platelet/Lymphocyte Ratio in the Diagnosis of Acute Appendicitis and its Relationship with Age
Aim: Acute appendicitis (AA) is one of the most common emergency surgical pathologies. The tests used in the differential diagnosis of these patients need to be quick, easy to access and cheap. Discussions continue about...
Melanosis of The Appendix Presenting with the Clinic of Acute Appendicitis
Laxative drugs are frequently used for chronic constipation. The chronic use of laxatives, which contain anthraquinone, mostly causes melanosis coli. A 57-year-old male patient with a history of diabetes mellitus and cor...
Idiopathic Nonobstructive Colo-colonic Intussusception: A Rare Clinical Presentation
Adult intussusception is a rare clinical condition. There is generally an etiological factor, mainly malignancy. However, the number of idiopathic cases is very low. Patients may present with obstruction or acute abdomen...