Dr Krishna Pada Saha, Phase B Resident, Colorectal Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2021 Apr;30(2):442-446.
Pilonidal sinus disease is a common anorectal condition usually seen in young adult patients. Various methods have been described over the years and there is ongoing debate regarding the ideal method. This study was conducted to evaluate the advantages, results of rhomboid excision and Limberg flap reconstruction in the management of sacrococcygeal pilonidal sinus disease. This cross-sectional study was conducted in Surgery Unit-I of Department of Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh a tertiary care centre from July 2016 to November 2017. It includes 19 patients who were treated for sacrococcygeal pilonidal sinus disease by Limberg (Rhomboid) flap. All patients that underwent the procedure had good postoperative outcome with minimal postoperative discomfort and were discharged in 3-4 days. There were 3 cases with complications. Limberg flap coverage is very effective for pilonidal disease with low complication rates, reduced hospital stay, low recurrence rates, earlier healing and shorter time off-work. This technique can be easily mastered and used as an indispensable tool for treating sacrococcygeal pilonidal sinus disease.
藏毛窦疾病是一种常见的肛门直肠疾病，通常发生于年轻的成年患者。多年来已经描述了各种方法，对于理想的方法仍存在持续的争论。本研究旨在评估菱形切除和 Limberg 皮瓣重建在骶尾部藏毛窦疾病治疗中的优势、结果。本横断面研究于 2016 年 7 月至 2017 年 11 月在孟加拉国达卡的 Shaheed Suhrawardy 医学院医院外科部 I 外科进行，包括 19 例接受 Limberg（菱形）皮瓣治疗骶尾部藏毛窦疾病的患者。所有接受该手术的患者术后恢复良好，仅有轻微的术后不适，术后 3-4 天即可出院。有 3 例出现并发症。Limberg 皮瓣覆盖术治疗藏毛疾病非常有效，并发症发生率低，住院时间短，复发率低，愈合早，停工时间短。该技术易于掌握，可作为治疗骶尾部藏毛窦疾病的不可或缺的工具。
