Department of Surgery, Hamdard University Hospital, Karachi, Pakistan.
J Ayub Med Coll Abbottabad. 2022 Apr-Jun;34(2):230-234. doi: 10.55519/JAMC-02-9371.
Pilonidal sinus disease (PNSD) is considered as the challenging disease for surgeons since decades. The term pilo-nidal is derived from Latin meaning "nest of hair". It is a commonly occurring disease usually involved young male adults. It is considered as an acquired condition with unidentified aetiology and pathogenesis. The objective was to observe the results of Limberg's flap operation in patients with Pilonidal sinus disease..
We performed an observational study at Hamdard University Hospital from 1st January 2016 to 31st December 2019 on patients who came to the outpatient department for the treatment of pilonidal sinus diseases and underwent surgery (Limberg's flap) after consent. The patient's presentation varied from single sinus and dry, multiple sinuses and dry, single sinus with serous discharge, single sinus with pus discharge, and pilonidal abscess. Forty-six patients were selected after applying inclusion and exclusion criteria and operated by Limberg's flap technique.
Results were observed for postoperative seroma, hematoma, wound infection, persistent pain, and recurrence. Out of 46 patients, 30 (65.21%) were male and 16 (34.7%) were female. 28 patients (60.8%) were between 31-40 years of age and 12 patients (26.08%) were between 41-50 years of age. After performing Limberg's flap procedure, 35 patients (76%) had no complications at all. 2 patients (4.3%) had seroma formation. 4 patients had Hematoma formation (8.6%). Two patients (4.3%) patients developed superficial wound infection. 2 patients (4.3%) had persistent pain after 3 months of the procedure. One patient (2.1%) had recurrence during the follow-up period of 12 months.
Limberg's flap operation is associated with low recurrence as well as a low rate of other complications such as seroma or hematoma formation, wound infection, and persistent pain irrespective of the presentation of the pilonidal sinus.
几十年来，藏毛窦疾病（PNSD）一直被认为是外科医生面临的挑战。术语“pilo-nidal”源自拉丁语，意为“毛发巢”。它是一种常见的疾病，通常发生在年轻的成年男性身上。它被认为是一种具有不明病因和发病机制的获得性疾病。目的是观察 Limberg 皮瓣手术在藏毛窦疾病患者中的结果。
我们在 2016 年 1 月 1 日至 2019 年 12 月 31 日期间在 Hamdard 大学医院进行了一项观察性研究，对前来门诊治疗藏毛窦疾病并在同意后接受手术（Limberg 皮瓣）的患者进行了研究。患者的表现从单个窦和干燥、多个窦和干燥、单个窦伴浆液性分泌物、单个窦伴脓性分泌物和藏毛窦脓肿不等。在应用纳入和排除标准后，选择了 46 名患者，并采用 Limberg 皮瓣技术进行手术。
观察了术后血清肿、血肿、伤口感染、持续性疼痛和复发的结果。在 46 名患者中，30 名（65.21%）为男性，16 名（34.7%）为女性。28 名（60.8%）患者年龄在 31-40 岁之间，12 名（26.08%）患者年龄在 41-50 岁之间。行 Limberg 皮瓣手术后，35 名（76%）患者无任何并发症。2 名（4.3%）患者出现血清肿形成。4 名患者出现血肿形成（8.6%）。2 名（4.3%）患者术后 3 个月发生浅表伤口感染。2 名（4.3%）患者术后 3 个月出现持续性疼痛。1 名（2.1%）患者在 12 个月的随访期间复发。
Limberg 皮瓣手术与低复发率相关，同时与血清肿或血肿形成、伤口感染和持续性疼痛等其他并发症的发生率较低相关，而与藏毛窦的表现无关。
