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 129
- Downloads 0
Penetrating Sharp Object Injury in the Gluteal Region and Small Bowel Perforation Due to Pelvic Penetration: A Case Report
Penetrating sharp object injuries in the gluteal region are common. However, it is very rare that these injuries lead to perforation of the small bowel by pelvic penetration, which is generally overlooked. As penetration...
Laparoscopic Resection of Primary Tumor with Synchronous Conventional Resection of Liver Metastases in Patients with Stage 4 Colorectal Cancer: A Retrospective Analysis
Aim: Aim of this study is to analyze the short and long term results of laparoscopic colorectal cancer resection with synchronous conventional resection of liver metastasis. Method: All cases operated on synchronous colo...
Does Body Mass Index Affect the Number of Excised Lymph Nodes in Colorectal Cancer Surgery?
Aim: This study investigated the effect of body mass index (BMI) on the total number of excised and metastatic lymph nodes in patients undergoing elective surgery for colorectal cancer. Method: The cases of 185 patients...
Clinical Value of the Platelet-to-Lymphocyte Ratio for Diagnosing Complicated Acute Appendicitis
Aim: Acute appendicitis (AA) is the most common acute surgical disease worldwide. Despite the use of preoperative advanced radiological instruments, preoperative determination of complicated cases is still difficult and...
Risk Factors in Anastomotic Leaks After Low Anterior Resection for Rectal Cancer and the Effects of Diverting Stoma on Clinical Results
Aim: The aim of this study was to determine the risk factors which might render patients who underwent rectal cancer surgery prone to anastomotic leaks (AL) and to investigate whether diverting stoma (DS) alleviated the...