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 127
- Downloads 0
Anal Bowen’s Disease: Retrospective Analysis of Five Cases
Aim: Anal Bowen’s disease is a rare in-situ squamous cell carcinoma of the anus. Symptoms such as pruritus, burning, and pain in the perianal region are the first complaints of patients at admission. The disease should b...
Treatment of a Patient Who Attempted Suicide by Swallowing a Razor Blade: A Case Report
Intentional ingestion of foreign bodies is a common phenomenon among psychiatric patients and prisoners. In this report, we present a 34-year-old male prisoner who stated that he swallowed a razor blade to commit suicide...
Midgut Nonrotation in an Adult Patient and Ladd’s Procedure
Midgut malrotation is a congenital anomaly that usually occurs during infancy. The most common type is the “classic” form, which is defined as complete failure of rotation of both proximal (duodenojejunal limb) and dista...
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...
Transanal Advancement Flap Repair: The Current Gold Standard for Cryptoglandular Transsphincteric Perianal Fistulas
Transanal advancement flap repair has been considered as a treatment modality for transsphincteric perianal fistulas for over a century. Several systematic reviews have shown that this technique is effective in 80 percen...