The Limberg Flap Procedure in the Treatment of Pilonidal Cyst Disease of the Sacrum – Initial Report
Journal Title: Polish Journal of Surgery - Year 2014, Vol 86, Issue 6
Abstract
Pilonidal cyst disease mainly concerns young people, aged between 16 and 25 years. The disease causes significant pain, considerable discomfort and impairs daily functioning, often resulting in an inability to work and study. Many techniques have been introduced in the treatment of pilonidal cysts, but till today no gold standard has been established. The aim of the study was to present initial results considering the treatment of pilonidal cyst disease with the use of a skin flap by means of Limberg’s method. Material and methods. During the period between January, 2012 and March, 2013, 10 patients were operated due to pilonidal cysts using the Limberg flap procedure. All patients presented with the chronic form of the disease and were after previous surgical incisions. Pain considering patients was evaluated using the visual pain scale (VAS), one and 10 days after the operation. Patients reported for control 10 days, one month, and 6 months after the surgical procedure. Results. The planned procedure was safely performed in all cases. There were no complications during the procedure, nor late postoperative complications. We observed no wound infection or dehiscence in all operated patients. The mean follow-up time of the presented group was 13.32 months (ranging between 7.53‑21.57). During the follow-up period there was no episode of recurrence. Conclusions. The use of the skin flap by means of Limberg’s method after excision of the pilonidal cyst in the sacrum area is a good method, which provides a very low percentage of recurrences and complications. Fast return to daily activities, no significant pain in patients, and an acceptable cosmetic result are strong reasons in favor of the above-mentioned method. Preliminary observations and experience enable to recommend this method for the treatment of pilonidal cysts in the vicinity of the sacrum.
Authors and Affiliations
Arkadiusz Spychała, Dawid Murawa
Keywords
Related Articles
- EP ID EP74409
- DOI 10.2478/pjs-2014-0046
- Views 88
- Downloads 0
Presacral Tumors: How do They Compare in Pediatric and Adult Patients?
Presacral tumors are rare with few published studies in the literature. It is unknown whether the course of the disease and the required treatment differs between pediatric and adult patients. The aim of the study was to...
Portal Vein Resection During Pancreatectomy for Pancreatic Head Adenocarcinoma. Scope of Current Opinions and own Experiences
Ból w klatce piersiowej u pacjentów z rakiem płuca a poziom lęku w okresie okołooperacyjnym
Wstęp: Ból w klatce piersiowej jest jednym z objawów raka płuca. Prowadzi on zwykle do pogorszenia funkcjonowania pacjentów w sferze somatycznej i psychicznej. Cel: Ustalenie, czy obecność bólu w klatce piersiowej oddzia...
Gastrointestinal Tract Obstruction Due to Jejunal Adenocarcinoma – Case Report
The study presented a rare case of jejunal adenocarcinoma in a 60-year-old patient with symptoms of high subileus. No risk factors or coexisting diseases, which predispose towards intestinal cancer were detected. The stu...
Randomized Clinical Trial to Compare the Effects of Preoperative Oral Carbohydrate Loading versus Placebo on Insulin Resistance and Cortisol Level after Laparoscopic Cholecystectomy
Postoperative insulin resistance, used as a marker of stress response, is clearly an adverse event. It may induce postoperative hyperglycemia, which according to some authors can increase the risk of postoperative compli...