ÖZET

OBJECTIVE:

The aim is to share early postoperative results after surgery for pilonidal sinus disease using the modified Limbergflap technique.

METHODS:

This retrospective study analyzed all patients in our clinical database with pilonidal sinus disease who received surgical treatment with the modified Limberg flap technique from September 2011 to February 2012.

RESULTS:

During the study period, 162 patients met study criteria. All patients were males. Mean age was 22.1±3.2 years (range, 17-34 years), mean duration of complaint was 22.1±11.1months (range, 6-60 months), and mean operation time was 37.2±5.9 minutes (range, 20-55 minutes). Thirty-five of the 162 patients underwent surgery for recurrence of their pilonidal sinus disease. Postoperative care for all patients included drains and double antibiotic prophylaxis (cefoperazone and metronidazol).The drains were removed on postoperative day 1 for 43 patients,day 2 for 104 patients, day 3 for 11 patients, and day 4 for 4 patients. Mean drainage volume was 36.4±13.2 cc (range, 15-90cc) on postoperative day 1, and 23.53±9.8 cc (range, 10-60 cc) on day 2. Surgical site infection occurred in 3 patients, bleedingin 1 patient, and minimal wound dehiscence in 12 patients. For the 3 patients with surgical site infection, we reversed the flap transposition and left the wound open for secondary healing.

CONCLUSION:

A rapid healing process and short recovery time make the modified Limberg flap transposition one of the besttreatment options for both primary pilonidal sinus disease and recurrence.