J Korean Surg Soc.  2013 Aug;85(2):63-67. 10.4174/jkss.2013.85.2.63.

Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease

• Altintoprak F
• Dikicier E
• Arslan Y
• Ozkececi T
• Akbulut G
• Dilek ON

• KMID: 2212518
• DOI: http://doi.org/10.4174/jkss.2013.85.2.63

Abstract

PURPOSE
In this study, we investigated whether there is a factor that can aid determi nation of the preferred technique by comparing the early and late results of two different surgical techniques for the treatment of pilonidal sinus.
METHODS
The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively.
RESULTS
The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001).
CONCLUSION
The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients' employment (or position in working life) must be considered when determining the most appropriate surgical technique.

Keyword

Hyaluronate membrane; Pilonidal sinus; Limberg flap; V-Y flap

MeSH Terms

Employment
Follow-Up Studies
Hematoma
Humans
Medical Records
Necrosis
Pilonidal Sinus
Recurrence
Seroma
Wound Infection

Figure

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  Fig. 1 Limberg flap procedure.

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  Fig. 2 V-Y flap procedure.

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