AIM OF THIS STUDY: to report our results in a large series of patients with chronic pilonidal sinus (PS) at long term follow up, MATERIALS AND METHODS: Two hundred sixteen patients underwent excision and rhomboid flap transposition (RFT) from 1986 to 2004 for PS, and followed for more than two years. Clinical presentation includes: pilonidal abscess treated by drainage (33%), chronic discharge (48%) and simple infected sinus (19%). Mean follow-up was 74.4 months (range: 24-96). RESULTS: Minimal flap necrosis occurred in 5 pts (2.3%), post operative infection in 2 pts (0.9%), 4 pts (1.8%) had a seroma, 18 pts (8.3%) anesthesia or hypoesthesia on the upper portion of the flap. The mean hospitalization was 3.1 +/- 0.30 days and return to work was 10.8 +/- 2,4 days. Recurrences occurred in 5 pis (7.4%) in our initial 87 pts. Since we modified the technique no recurrences were seen. CONCLUSIONS: The Limberg's technique is a very effective procedure for chronic or recurrent PS with a low complications rate, a short hospital stay, a rapid return to normal activities and a low recurrence rate. Moreover with the modified technique the wound healing and the rate of recurrences have shown a significant decrease.

Milito, G., Gargiani, M., Gallinela, M., Crocoli, A., Spyrou, M., Farinon, A. (2007). Modified Limberg's Transposition flap for pilonidal sinus: long term follow up of 216 cases. ANNALI ITALIANI DI CHIRURGIA, 78(3), 227-231.

Modified Limberg's Transposition flap for pilonidal sinus: long term follow up of 216 cases

MILITO, GIOVANNI;
2007-01-01

Abstract

AIM OF THIS STUDY: to report our results in a large series of patients with chronic pilonidal sinus (PS) at long term follow up, MATERIALS AND METHODS: Two hundred sixteen patients underwent excision and rhomboid flap transposition (RFT) from 1986 to 2004 for PS, and followed for more than two years. Clinical presentation includes: pilonidal abscess treated by drainage (33%), chronic discharge (48%) and simple infected sinus (19%). Mean follow-up was 74.4 months (range: 24-96). RESULTS: Minimal flap necrosis occurred in 5 pts (2.3%), post operative infection in 2 pts (0.9%), 4 pts (1.8%) had a seroma, 18 pts (8.3%) anesthesia or hypoesthesia on the upper portion of the flap. The mean hospitalization was 3.1 +/- 0.30 days and return to work was 10.8 +/- 2,4 days. Recurrences occurred in 5 pis (7.4%) in our initial 87 pts. Since we modified the technique no recurrences were seen. CONCLUSIONS: The Limberg's technique is a very effective procedure for chronic or recurrent PS with a low complications rate, a short hospital stay, a rapid return to normal activities and a low recurrence rate. Moreover with the modified technique the wound healing and the rate of recurrences have shown a significant decrease.
2007
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/18 - CHIRURGIA GENERALE
English
Con Impact Factor ISI
adolescent; adult; article; female; follow up; human; male; methodology; pilonidal sinus; plastic surgery; surgery; time; Adolescent; Adult; Female; Follow-Up Studies; Humans; Male; Pilonidal Sinus; Surgical Flaps; Surgical Procedures, Operative; Time Factors
Milito, G., Gargiani, M., Gallinela, M., Crocoli, A., Spyrou, M., Farinon, A. (2007). Modified Limberg's Transposition flap for pilonidal sinus: long term follow up of 216 cases. ANNALI ITALIANI DI CHIRURGIA, 78(3), 227-231.
Milito, G; Gargiani, M; Gallinela, M; Crocoli, A; Spyrou, M; Farinon, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/43348
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