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
Keywords
Related Articles
- EP ID EP273426
- DOI -
- Views 78
- Downloads 0
Detection of the CD64 on Neutrophils and CD69 on Lymphocytes by Flowcytometry as a Marker for Early Diagnosis of Neonatal Sepsis
Background: Neonatal sepsis remains one of the main causes of mortality and morbidity despite the progress in hygiene, introduction of new and potent antimicrobial agents for treatment, and advanced measures for diagnosi...
Use of Simple Information Communication Technology to Manage the Epilepsy Challenge at a Community Cottage Hospital in the Niger Delta Area of Nigeria
Epilepsy is a worldwide problem associated with stigmatization. In Nigeria many of these patients do not access adequate care, drop out of school or employment and many die at home. To help ameliorate this problem, the O...
Association between Serum Malondialdehyde and Insulin in Type 2 Diabetes Mellitus in Eastern India
Objectives: Oxidative stress and insulin plays a pivotal role in the pathogenesis of type 2 diabetes mellitus (T2DM). The aim of our study was to study the altered levels of serum insulin and malondialdehyde and putative...
The Influence of Number of Signal Average Variation to the Scan Time and Anatomic Information of Lumbar MRI on Sagittal Slice with Stir Sequence
Background: The number of signal averages (NSA) parameters is one of the parameters that can affect the quality of the MRI image making the selection of accurate parameters is necessary to produce an optimal image produc...
Epidemiological Study of Parasitic Infestations in Pediatric Population Attending A Tertiary Care Hospital, Northern India
Introduction: Intestinal parasitic infection is one of the major health problems in several developing countries, including India. Soil transmitted helminth (STH) infections form the most important group of intestinal wo...