Limberg Flap reconstruction for pilonidal sinus

Danilov M.A.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0001-9439-9873

Saakyan G.G.

Loginov Moscow Clinical Scientific Center

Leontiev A.V.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-3363-6841

Baychorov A.B.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-0641-0572

Abdulatipova Z.M.

Loginov Moscow Clinical Scientific Center

Limberg Flap reconstruction for pilonidal sinus

Authors:

Danilov M.A., Saakyan G.G., Leontiev A.V., Baychorov A.B., Abdulatipova Z.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(11): 34‑38

DOI: 10.17116/hirurgia202111134

Downloaded: 51

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To cite this article:

Danilov MA, Saakyan GG, Leontiev AV, Baychorov AB, Abdulatipova ZM. Limberg Flap reconstruction for pilonidal sinus. Pirogov Russian Journal of Surgery. 2021;(11):34‑38. (In Russ.)
https://doi.org/10.17116/hirurgia202111134

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To compare the effectiveness of two surgical techniques in patients with pilonidal sinus.

MATERIAL AND METHODS

There were 117 patients with pilonidal sinus divided into 2 groups depending on surgical approach: main group — Limberg Flap reconstruction (n=62), control group — conventional suturing of sinus (n=55). Patient data were analyzed using SPSS software.

RESULTS

Mean length of hospital-stay in the main group was 8.2 days, in the control group — 5.4 days. Pain syndrome was more significant after 1 postoperative day in the main group. Three days later, severity of pain was similar in both groups. In the main group, sutures were removed after 13 days, in the control group — after 8 days. Incidence of postoperative wound infection was 3.2% in the main group and 14.5% in the control group. Long-term postoperative recurrence occurred in 1 patient of the main group and 6 patients of the control group.

CONCLUSION

Limberg flap reconstruction is followed by fewer postoperative complications and recurrences. However, period of rehabilitation and wound healing is longer compared to traditional technique.

Keywords:

epithelial pilonidal sinus

Limberg Flap reconstruction

recurrent epithelial pilonidal sinus

Authors:

Danilov M.A.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0001-9439-9873

Saakyan G.G.

Loginov Moscow Clinical Scientific Center

Leontiev A.V.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-3363-6841

Baychorov A.B.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-0641-0572

Abdulatipova Z.M.

Loginov Moscow Clinical Scientific Center

Received:

22.12.2020

Accepted:

08.03.2021

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