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Comparison of outcome of simple excision and primary closure with Limberg Flap procedure in Pilonidal disease
Muhammad Haris Janjua, Jibran Mohsin, Jumana Fatima, Muhammad Usman Siddique Muhammad Yasir Naseem, Aun Jamal Gill
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Volume 13 - Issue 1     Jan - Mar 2021
Download Abstract:


Objective: To compare outcome of excision of pilonidal sinus tract and primary closure with limberg flap procedure done for pilonidal disease.

Study Design: Prospective Interventional Comparative Study

Place and Duration: Department of General Surgery, Unit I, Services Hospital, Lahore from 06th September 2015 to 05th July 2017.

Methodology: Sixty patients (30 in each group) were included and randomly divided into Group PE (simple excision with primary closure) and Group LF (Limberg flap) using non probability consecutive sampling. Outcome was compared in terms of mean operative time, mean post-operative pain at 24 hours (VAS score) and mean length of hospital stay.

Results: Patients were ranged between 18 to 80 years with mean age (years) of the patients was 37 ± 7.25 and 39 ± 10.43 in group PE and LF respectively. Male to female ratio was 5:1 (group PE) versus 9:1 (group LF). Mean operative time (minutes) was 30.3 ± 4.64 (group PE) versus 47.1 ± 5.34 (group LF) (P < 0.00001). Mean post-operative pain at 24 hours (VAS score) was 5.63 ± 0.72 (group PE) versus 2.63 ± 0.76 (group LF) (P < 0.00001). Mean length of hospital stay (days) was 5.83 ± 1.05 (group PE) and 2.43 ± 0.56 (group LF) (P<0.00001).

Conclusion: Limberg flap procedure is better than the simple excision with primary closure in terms of mean post-operative pain and mean length of hospital stay at the expense of relatively increased mean operative time.

Keywords: Sacro-coccygeal, Pilonidal sinus, Simple excision, Primary closure, Limberg flap, Operative time, Post-operative pain, Hospital stay

How to Cite This:

Janjua MH, Mohsin J, Fatima J, Siddique MU, Naseem MY, Gill AJ. Comparison of outcome of simple excision and primary closure with Limberg Flap procedure in Pilonidal disease. Isra Med J. 2021; 13(1): 11-14.

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