Limberg Flap in the Treatment of Patients Presented with Sacrococcygeal Acute Pilonidal Abscess: Long Term Results
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2017, Vol 27, Issue 4
Abstract
Aim: In this study, we evaluated the long-term results of patients who presented with acute pilonidal abscess in the sacrococcygeal region and were treated with Limberg flap Method: Twenty-four male military personnel who were admitted to the outpatient clinic for the first time with the diagnosis of pilonidal abscess and who did not have regular wound care were prospectively followed. Patients with recurrence were not included in study. Limberg flap technique without drainage was applied to all patients. Age, surgery duration, length of hospital stay, and time to return to daily activities were recorded. The patients were asked about postoperative recurrence by telephone. Results: Mean age was 25.2 years (20-32 years), mean length of hospital stay was 4.2 days (3-6 days), mean time to return to daily activities was 6.8 days, and mean duration of surgery was 45.2 minutes (37-68 minutes). Hematoma was observed postoperatively in 2 patients and seroma in 3 patients. The patients with hematomas were reoperated at 1 month and 3 months. One seroma patient and 4 of the other patients were also reoperated at different hospitals due to recurrence. In total, recurrence was observed in 7 patients (29.1%). Conclusion: Although the recurrence rate in our study is higher than in elective cases, it is possible to apply the Limberg flap with a shorter hospital stay and earlier return to work in selected patients with pilonidal abscess who live and work in poor hygienic conditions.
Authors and Affiliations
Gökhan Demiral
Keywords
Related Articles
- EP ID EP274116
- DOI 10.4274/tjcd.92259
- Views 135
- Downloads 0
Primary Tuberculous Colitis Mimicking Colon Carcinoma In An Immunocompetent Patient
The prevalence of tuberculosis is rising again. It can be seen in any organ system, but isolated primary colon involvement is very rare. Its symptoms are non-specific and may mimic Crohn’s disease, adenocarcinoma or othe...
Four Determinative Factors in Fournier’s Gangrene Mortality
Aim: We aimed to more accurately predict mortality in Fournier’s gangrene (FG) by investigating factors affecting mortality such as age, extent of infection, presence of accompanying comorbidities, the intensive care uni...
Colonoscopy Findings in Patients Who Have Positive Fecal Occult Blood Test for Colorectal Cancer Screening
Aim: To determine the rate of colonoscopies performed in patients referred for colonoscopy due to positive fecal occult blood test in colorectal cancer screening, and the rates of cancer, polyps, and other colorectal dis...
Role of Ultrasonography in Evaluation of Pilonidal Disease
Aim: Pilonidal disease (PD) generally occurs in the sacrococcygeal region and physical examination (PE) is the main diagnostic method. However, imaging methods such as ultrasonography (USG) may be necessary to evaluate P...
Appendix Duplication Accompanied by Acute Appendicitis
Acute appendicitis is the most common non-traumatic emergency surgical pathology, and duplication of the appendix is a rare congenital anomaly usually detected incidentally during laparotomy. Since Picoli first described...