Rhomboid Excision and Limberg Flap for Pilonidal Sinus Disease: A Clinical Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Pilonidal sinus is an acquired disease of young adults especially males in the age group of 15 to 40 years. The multiplicity of treatments available for this condition (surgical /non surgical) are testimony to the lack of satisfaction found with each. Objectives: To study the advantages of rhomboid excision and Limberg flap in pilonidal sinus disease Material and Methods: It was the prospective study of 25 patients who were diagnosed to have pilonidal sinus (primary or recurrent). All the patients included in the study underwent rhomboid excision and Limberg flap by the same team. The post operative course of each patient was studied. Immediate complications of the procedure like wound infection, seroma, post operative pain and hospitalization time were recorded. Patients were followed up to 6 months for recurrence. Result: Males were predominantly affected and female to male ratio 1:7. Mean age of the patient were 32.4 yrs. Most of the patients involved in work pertaining to prolonged sitting. Out of 25 patients, 4 patient developed wound infection. Flap tip necrosis was observed in one patient and prolonged drainage was present in 3 patients (average 18 days).We encounter one recurrence in 6th month follow up. Conclusion: Primary and recurrent pilonidal sinus is very effectively managed by this procedure with minimum complications and very low recurrence rate.
Authors and Affiliations
Dr TRV Wilkinson
Testicular Biopsy in Male Infertility
Background: The evaluation of the infertile male includes a thorough history taking, physical examination Semen analysis, hormonal array and search for anti sperm antibody. Additional tests include Trans rectal ultrasoun...
Management of Pertrochanteric Fractures in Elderly High-Risk Patients with an External Fixation
Background: Pertrochanteric femur fractures are common in older people. In high-risk patients, especially American Society of Anesthesiologists (ASA) scores 3 and 4, surgery with internal fixation can cause excessive str...
A Novel Topical Spray which Efficiently Provides Relief for Patients Suffering from Pruritus
Background: Pruritus is defined as an “unpleasant sensation that elicits the desire or reflex to scratch”. It can occur without injury or disease, serves no apparent biological purpose and has no recognizable endpoint. I...
A Cross-sectional Study on Age related Dyslipidaemia in patients with Type2 Diabetes mellitus
Objectives: This study was to evaluate the effect of duration of diabetes mellitus on lipid profile of different age groups patients, establish the relation between serums lipid profile of patients with type 2 Diabetes m...
Clinico- haematological Profile of Sickle Cell Disease and Sickle Cell BetaThalassaemia in the State of Odisha
Background: Hemoglobinopathy is a group of inherited disorders characterized by structural variations of the hemoglobin molecule. Sickle cell disease, beta thalassemia and sickle beta thalassemia constitute the major gen...