Indian Journal of Applied Basic Medical Sciences Year: 2020, Volume: 22(B), Issue. (2) First page: (134) Last page: (142) Online ISSN: 2249-7935 Print ISSN: 0975-8917 doi:10.48165/ijabms.2020.22210
A Comparative Retro-Spective Study Between Excision Followed by Secondary Healing and Limberg’s Flap Surgery for Pilonidal Sinus
Mitkumar Rojesara1*, Jaimish Gajjar 2, Ankit Bagdai3
1Third year residen, 2Associate Professor & Head of Unit, 3 Assistant Professor, Department of General Surgery G.C.S Medical College, Hospital and Research Centre Ahmedabad, Gujarat
Corresponding author email id: email@example.com
Online Published on 02-July-2020
Objective: The study was undertaken to compare the operative time, wound related complications, hospital stay, wound healing time and rate of recurrence between the two techniques of pilonidal sinus surgery. Methodology: This was a comparative retrospective study carried out at a tertiary care hospital of patients operated from June 2017 to January 2019. 40 patients were studied who were equally divided into 2 groups, Group A – excision followed by secondary healing group and Group B – Limberg’s flap group. Results: The outcomes were compared between both groups. In Group A, mean operative time was 28.75 min while in Group B, it was 56.25min. In Group A, 6(30%) patients developed redness and induration of the surrounding skin while in Group B, 2(10%) patients developed discharge from the wound with surrounding redness followed by gaping and other 3(15%) patients had flap necrosis. In Group A, mean hospital stay and wound healing time were 7.15 days and 31.75 days respectively while in Group B, it was 5.75 days and 14.05 days respectively. In Group A, 2(10%) patients had recurrence during the follow up period of 6 months while in group B there was no recurrence. Conclusion: Limberg’s flap surgery has significantly longer operative time and shorter wound healing time as compared to the excision followed by secondary healing but there is no significant difference between both techniques in terms of hospital stay, wound related complications or rate of recurrence. Limberg’s flap may be a good alternative to the secondary healing technique as it has lesser hospital stay and lesser recurrence but a larger randomized study & long term follow up are required for definitive conclusions and recommendation.
pilonidal sinus, Limberg’ flap, hospital stay, operative time, recurrence