Online ISSN: 2515-8260

Keywords : Pilonidal Sinus

Comparison between Perforator Dependent Island Flap and Limberg Flap for Treatment of Pilonidal Sinus

Ahmed Samy Fawzy, Doaa Omar Refaat, Abd Elhafez Mohammad Elshewail, Abd-Elrahman M. Metwalli

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3325-3334

Background: The optimal operation for pilonidal sinus disease should be a
straightforward one with low complication and recurrence rates. This is
accomplished by flap techniques which flatten the natal cleft with an off-midline
closure. The aim of this research was to compare two commonly used flap
strategies in Zagazig university hospitals in terms of complications, recurrence
rates, and patient satisfaction.
Patients and methods: 24 patients with pilonidal sinus disease were split into two
categories in this interventional comparative clinical review. The superior gluteal
artery perforator based flap was used to close the defect after complete excision of
the sinus and its side branches in Group 1 while Group (2): were operated with total
excision of the sinus and its side branches followed by closure of the defect using
the Limberg flap. Patients were followed up weekly for the first 4 postoperative
weeks and after that a visit once a month.
Results:In terms of postoperative wound complications, the gap between our two
classes was negligible. Recurrence occurred in none of the patients in group (1)
and one-sixth of the patients in group (2), but the disparity was statistically
insignificant with a P value of 0.478. In the SGAP community, patient satisfaction
with the operation was non-significantly higher.
Conclusion: Both perforator dependent island flap and limberg flap are safe
procedures and provide effective treatment for pilonidal sinus disease with low rate
of complications and recurrence.