Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Ghaem Hospital, Mashhad, Iran.
Int J Surg. 2011;9(4):343-6. doi: 10.1016/j.ijsu.2011.02.009. Epub 2011 Feb 24.
Pilonidal disease is a common chronic disorder, mostly affecting young adult males. Different hypotheses have been introduced for this disease, but acquired pathogenesis is the most acceptable one. Furthermore, different types of intervention are performed based on its pathogenesis. The aim of this study was to compare excision with primary repair versus the Limberg flap.
One hundred patients, who were enrolled in this study were randomly divided into two groups of 50 patients. One group underwent excision with primary repair and the other group rhomboid excision with the Limberg flap. Then the demographic characteristics, early and late complications, comfort and pain score on the first and fourth postoperative day, hospital stay, time of return to work, and patient satisfaction were compared. P < 0.05 was considered statistically significant.
The mean age was 24 years and the male to female ratio was 4:1. There was no significant difference between the two groups in terms of demographic characteristics, operation time, early complication rate and recurrence. But significant difference was observed in return to work, first pain-free toilet sitting, pain score and patient satisfaction.
It seems that the Limberg flap has similar complications as the primary repair method, but earlier return to work and less hospital stay, lower pain score and higher comfort and satisfaction were the advantages of the Limberg flap method. Thus, this method is recommended for the treatment of primary pilonidal disease.
藏毛窦疾病是一种常见的慢性疾病，主要影响年轻成年男性。对于这种疾病，已经提出了不同的假说，但后天发病机制是最被接受的。此外，根据其发病机制，还进行了不同类型的干预。本研究旨在比较切除加一期修复与 Limberg 皮瓣的疗效。
本研究共纳入 100 例患者，随机分为两组，每组 50 例。一组行切除加一期修复，另一组行菱形切除加 Limberg 皮瓣。然后比较两组的人口统计学特征、早期和晚期并发症、术后第 1 天和第 4 天的舒适度和疼痛评分、住院时间、重返工作的时间以及患者满意度。P＜0.05 被认为具有统计学意义。
平均年龄为 24 岁，男女比例为 4:1。两组在人口统计学特征、手术时间、早期并发症发生率和复发率方面无显著差异。但在重返工作、首次无痛苦如厕、疼痛评分和患者满意度方面存在显著差异。
Limberg 皮瓣与一期修复方法的并发症相似，但 Limberg 皮瓣方法更早地恢复工作，住院时间更短，疼痛评分更低，舒适度和满意度更高。因此，推荐该方法治疗原发性藏毛窦疾病。
