Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease / 대한외과학회지
Journal of the Korean Surgical Society
; : 63-67, 2013.
Article
in En
| WPRIM
| ID: wpr-72880
Responsible library:
WPRO
ABSTRACT
PURPOSE: In this study, we investigated whether there is a factor that can aid determi nation of the preferred technique by comparing the early and late results of two different surgical techniques for the treatment of pilonidal sinus. METHODS: The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively. RESULTS: The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001). CONCLUSION: The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients' employment (or position in working life) must be considered when determining the most appropriate surgical technique.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pilonidal Sinus
/
Recurrence
/
Wound Infection
/
Medical Records
/
Follow-Up Studies
/
Seroma
/
Employment
/
Hematoma
/
Necrosis
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Journal of the Korean Surgical Society
Year:
2013
Type:
Article