Evaluation of the Outcomes of Rhomboidal Flap

, Saad A.Sarsam; , Sabah M.fatlawi; , Ahmed M.Salih

	Evaluation of the Outcomes of Rhomboidal Flap "Limberg Flap” Repair Procedure for Sacroccocygeal Pilonidal Sinus Disease in Baghdad Teaching Hospital
Iraqi Postgraduate Medical Journal
Article 1, Volume 18, Issue 1, 2019, Pages 62-67 PDF (0 K)
Authors
Saad A.Sarsam; Sabah M.fatlawi; Ahmed M.Salih
Abstract
ABSTRACT: BACKGROUND: Saccrococygeal Pilonidal sinus is a common surgical condition and its management is still debatable, as many surgical techniques were developed aiming to improve outcome, better patient satisfaction, and most importantly to prevent recurrence. Rhomboidal flap procedure "limberg flap" is very safe and effective method for pilonidal sinus treatment due to its low complication rate specially recurrence hence in this study we address the role of limberg flap procedure in management of pilonidal sinus and how its complications are. OBJECTIVE: To analyze the outcome of "Limberg" Rhomboidal flap, in managing sacrococcygeal Pilonidal sinus as a novel, with a potentially less complication and recurrence rate surgical procedure. PATIENT AND METHOD: This is a prospective study on 44 patients suffered from sacroccocygeal pilonidal sinus, 36 patients with primary disease and 8 patients had recurrent or previously managed pilonidal sinus collected randomly in the 5th floor surgical department in Baghdad teaching hospital from June 1st 2014 to December 10th 2015. All underwent rhomboidal flap procedure .there was no exclusion criteria, data collected included demographic distribution, primary or recurrent pilonidal sinus, wound complications, and recurrence. The minimum follow up period was 1 year after surgery. RESULTS: 44 patients had undergone this procedure most of them were males (41 patients), and (3 patients) were females, youngest patient was a 16-year old and oldest one was 41-year old. Mean agewas26. 1years±5.6SD, 5 patients (11.4%) had a previous formal surgical repair of pilonidal sinus, 3 patients (6,8%) had a previous drainage of pilonidal abscess. The mean duration of the disease is 10.9 months±6.9 SD.Our finding revealed that 3(6.8%) patients developed seroma , 2(4,5%)patients had wound infection that all responded to conservative treatment. Other suspected complications including flap necrosis, wound dehiscence and hematoma were not reported with any of our patients. CONCLUSION: Rhomboid flap is very safe and effective method for treatment of pilonidal sinus disease due to its low complication rates especially recurrence of pilonidal disease, it also offers a good patient satisfaction, although this procedure takes a longer operating time than the classical methods but it is easy to be learned and practiced with efficiency .
Keywords
KEYWORDS; rhomboidal flap; Limberg flap; recurrence

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Evaluation of the Outcomes of Rhomboidal Flap "Limberg Flap” Repair Procedure for Sacroccocygeal Pilonidal Sinus Disease in Baghdad Teaching Hospital