Treatment of pilonidal sinus disease with Limberg flap repair: Evaluation of early postoperative complications
Surgical Chronicles, cilt.20, sa.4, ss.144-147, 2015 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 4
- Basım Tarihi: 2015
- Dergi Adı: Surgical Chronicles
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.144-147
- Anahtar Kelimeler: Limberg flap, Sinus pilonidalis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background and Aim: Pilonidal sinus disease (PSD) is a common surgical disease seen especially in the young.The most important prognostic factors for patients are relapse after surgery; wound infection, seroma, hematoma and wound separation which can reduce the quality of life and increase costs and labor. Objectives: The aim of our study was to evaluate the complications following Limberg flap (LF) procedure for PSD. Materials and Methods: From January 2013 to August 2014, PSD patients treated with LF were retrospectively analyzed and data collected regarding age, gender, hospital stay, wound infection, re-hospitalization, postoperative urinary distention, postspinal headache and narcotic analgesic requirement 30 days postoperatively. Results: A total of one hundred and three patients were assessed. 92 were male and 11 were female. The average age was 26,4(16-68) and the average hospitalization stay was 1,9(1-7) days. The mean admission to the clinic after surgery was 2,9(1-8) while 2(1,9%) were rehospitalized because of postspinal headache and hematoma. Wound infection occured in 5(4,8%) patients during the 30 day follow-up. Only one patient(<1%) complained about urinary retantion and one (<%1) needed narcotic analgesic medication in addition to routine postoperative analgesics. Postoperative flap necrosis, recurrence and wound seperation were not observed. As expected, more patients suffering complication were admitted to the clinic than those with no complications (p=0.038). The age and postoperative complication rate were not related and there was no significant relationship between rate of complications and length of stay in hospital(p=0.239, p=0.079). Conclusion: LF is a safe method for surgical treatment of PSD, because of fast return to daily activities, no significant pain and acceptable wound infection rates.