Aslam Muhammad Nadeem, Shoaib Sidra, Choudhry Abdul Majeed
Department of Surgery, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2009 Oct-Dec;21(4):31-3.
Pilonidal sinus disease has been treated for a long time with conventional open excision technique. The rhomboid flap of Limberg is a transposition flap that has been pleaded for treatment of this condition.
We present our experience with the Limberg technique for both primary and recurrent pilonidal sinuses. One hundred and ten patients, with pilonidal sinus disease were treated with rhombic excision and Limberg transposition flaps. All sinus tracts were resected en bloc, and the fasciocutaneous Limberg flap was prepared from the gluteal region and closed it with a suction drain.
Full primary healing was obtained in 110 patients. 1 patient had minimal necrosis of flap and 2 had gaping of flap. Minor infection occurred in 3 patients. But all these complications healed uneventfully. The average hospital stay was 3 days. Follow up period was 1 year and 1 recurrence occurred.
Limberg transposition flap is a promising surgical technique to treat pilonidal sinus.
藏毛窦疾病长期以来一直采用传统的开放切除技术进行治疗。林伯格菱形皮瓣是一种用于治疗该疾病的转位皮瓣。
我们介绍了使用林伯格技术治疗原发性和复发性藏毛窦的经验。110例藏毛窦疾病患者接受了菱形切除和林伯格转位皮瓣治疗。所有窦道均整块切除，从臀区制备筋膜皮瓣林伯格皮瓣并用负压引流管封闭。
110例患者均实现一期完全愈合。1例患者皮瓣出现轻微坏死，2例出现皮瓣裂开。3例患者发生轻微感染。但所有这些并发症均顺利愈合。平均住院时间为3天。随访期为1年，发生1例复发。
林伯格转位皮瓣是一种治疗藏毛窦的有前景的手术技术。
