Modified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery.

摘要: Background:  The present study analyses the results of wide excision with primary closure (PC), classical Limberg flap reconstruction (LF) and modified (MLF) in surgical treatment sacrococcygeal pilonidal disease. Methods:  One hundred sixty-two well-documented patients who were operated on for disease followed more than 1 year analysed retrospectively. Group 1 was composed plus PC (n = 78) while group 2 included those a LF (n = 40), 3 MLF (n = 44). Results:  There no significant differences among three groups respect to age, sex distribution, frequency recurrent disease, or follow-up periods (P > 0.05 all comparisons). Significant disadvantages regarding postoperative infection rate, mobilization time, discharge from hospital, time off work noted closure, compared both reconstructions. Following median period 4.2 years, 14 recurrences (17.9%) developed group, (7.5%) none (0%) group. The zero recurrence rate significantly lower that (P = 0.003). On other hand, not found differ (P = 0.126). Comparing groups, end points reached statistically difference comparisons). Conclusions:  For proved be superior terms infection, hospital work. Additionally, resulted when PC.