Osmanoglu G, Yetisir F
Medicana International Ankara Hospital General Surgery Unit, Ankara, Turkey.
Chirurgia (Bucur). 2011 Jul-Aug;106(4):491-4.
Pilonidal Sinus Disease (PSD) is an acquired condition usually seen in young adult males. This descriptive retrospective study has been performed to determine effects of primary suture, marsupialization and Limberg Flap for the management of PSD on the outcomes of return to work period, infection and recurrence rates.
823 patients were operated by same two surgeons, wide excision was done. Some patients were primarily closed (Group 1), some marsupialized (Group 2) and to a number of patients Classic Limberg (Rhomboid) Flap (Group 3) was applied. The type of the surgery was judged by the operating surgeon. In January 2010, 767 of 823 patients could be reached, and a planned telephone interview was done.
767 patients (85 Female, 682 Male) with the median age of 25.8 were in the study. In "Return To Work (Days)" periods, there is statistically significant difference between groups (p < 0.001). The Return To Work Period is quite shorter in primary closure group compared with marsupialization group. In Limberg Flap Group the surgical site infection rate is the smallest with 4.7%. The highest recurrence rate is in the primary closure group. There is a statistically significant difference (p < 0.001) between the surgery types for the recurrence rates.
Because of earlier healing, shorter return to work and lower rates of infection and recurrence, limberg flap is better for PSD.
藏毛窦疾病（PSD）是一种后天性疾病，常见于年轻成年男性。本描述性回顾性研究旨在确定一期缝合、袋形缝合和林贝格皮瓣术治疗PSD对重返工作时间、感染率和复发率的影响。
823例患者由同两位外科医生进行手术，均行广泛切除。部分患者进行一期缝合（第1组），部分患者行袋形缝合（第2组），对一些患者应用经典林贝格（菱形）皮瓣术（第3组）。手术方式由主刀医生判定。2010年1月，823例患者中有767例取得联系，并进行了计划中的电话访谈。
767例患者（85例女性，682例男性）纳入研究，中位年龄25.8岁。在“重返工作（天数）”方面，各组间存在统计学显著差异（p<0.001）。一期缝合组的重返工作时间比袋形缝合组短得多。林贝格皮瓣组手术部位感染率最低，为4.7%。一期缝合组复发率最高。手术方式在复发率方面存在统计学显著差异（p<0.001）。
由于愈合早、重返工作时间短以及感染和复发率低，林贝格皮瓣术治疗PSD效果更佳。
