Memorial Oncology Group, Medstar Antalya Hospital, Department of General Surgery, Antalya, Turkey.
Memorial Oncology Group, Medstar Antalya Hospital, Department of General Surgery, Antalya, Turkey.
Asian J Surg. 2019 Aug;42(8):787-791. doi: 10.1016/j.asjsur.2018.12.008. Epub 2019 Jan 31.
To identify surgical techniques applied in case of recurrence in patients with pilonidal sinus, who have undergone primary treatment with Limberg flap, and to present our cases treated with Limberg flap reconstruction prepared from the contralateral gluteal region. Nine patients with recurrence out of 219 patients who underwent Limberg flap reconstruction between 2009 and 2016 at our clinics, and 6 patients who have been referred to our clinics with total 15 recurrence after primary Limberg flap reconstruction at other institutes were included in the study. Total excision and primary repair was applied in 3 patients while 2 patients underwent excision with lay open procedures. The remaining 10 patients underwent rhomboid excision of the recurrence area and Limberg flap repair from the contralateral gluteal area. All patients who underwent primary repair or excision-lay open procedures recurred again. These two patients also underwent contralateral Limberg flap reconstruction as their second revision surgery. There were no complications or recurrences in the study group. We believe that reconstruction with contralateral Limberg flap is an effective and feasible method in recurrent pilonidal sinus cases who have been initially treated surgically by the Limberg flap.
为了确定在接受 Limberg 皮瓣初次治疗后出现复发的藏毛窦患者中应用的手术技术，并介绍我们采用对侧臀区制备的 Limberg 皮瓣重建治疗的病例。我们对 2009 年至 2016 年间在我院接受 Limberg 皮瓣重建的 219 例患者中的 9 例复发患者和在其他机构初次接受 Limberg 皮瓣重建后转来我院的 6 例总计 15 例复发患者进行了研究。3 例患者行全切除和一期修复，2 例患者行切除加敞开术。其余 10 例患者行复发区域的菱形切除和对侧臀区 Limberg 皮瓣修复。所有行一期修复或切除敞开术的患者均再次复发。这两名患者也进行了对侧 Limberg 皮瓣重建作为第二次修正手术。研究组无并发症或复发。我们认为，对于最初通过 Limberg 皮瓣手术治疗的复发性藏毛窦患者，采用对侧 Limberg 皮瓣重建是一种有效且可行的方法。
