Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time
- 1 October 2020
- journal article
- research article
- Published by Wiley in Pediatrics International
- Vol. 62 (10), 1171-1176
- https://doi.org/10.1111/ped.14277
Abstract
Background Pilonidal sinus disease (PSD) is commonly seen in young adults but may also affect adolescents. Our goal was to present results from operated patients, with a focus on the original Limberg flap, which we standardized for the first time. Methods This study was a retrospective review of 60 teenage patients who underwent surgery in a single pediatric surgery center over approximately 15 years. Results Of the 60 patients, 33 (55%) were male and the mean age was 14.20 +/- 1.31 (9-17) years. After pilonidal sinus excision, primary repair and Limberg flap were performed in 45 (75%) and 15 (25%) patients respectively. There were no complications in the patients who underwent the Limberg flap technique, whereas 49% of the patients who underwent primary repair exhibited complications. The mean follow-up was 6.7 +/- 4.8 years. Conclusion We standardized the Limberg flap for the first time in children with measurements and consider that it meets expectations: it is not difficult to perform, it has low complication and recurrence rates, it requires an acceptable period to return to normal activities, and gives satisfactory cosmetic results. We did not identify any complications in patients treated with the Limberg flap excision and post-operative epilation. We consider that findings achieved by the treatment of original, standardized Limberg flap excision is comparable with all of the treatment methods reported in the literature related with children.Keywords
This publication has 21 references indexed in Scilit:
- The management of pilonidal disease: A systematic reviewJournal of Pediatric Surgery, 2019
- Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysisJournal of Pediatric Surgery, 2019
- Comparison of modified limberg flap and modified elliptical rotation flap for pilonidal sinus surgery: A retrospective cohort studyInternational Journal of Surgery, 2015
- Modified Limberg flap technique in the treatment of pilonidal sinus disease in teenagersJournal of Pediatric Surgery, 2014
- Treatment of adolescent pilonidal disease with a new modification to the Limberg flap: Symmetrically rotated rhomboid excision and lateralization of the Limberg flap techniqueJournal of Pediatric Surgery, 2013
- Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta‐analysis of randomized controlled trialsColorectal Disease, 2012
- Modified Limberg transposition flap in the treatment of pilonidal sinus diseaseTechniques in Coloproctology, 2011
- A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospitalPublished by CMA Impact Inc. ,2011
- Comparison of excision with primary repair versus Limberg flapInternational Journal of Surgery, 2011
- Modified Limberg Transposition Flap for Sacrococcygeal Pilonidal SinusSurgery Today, 2004