Karki B, Rajbhandari N
B and B Hospital, Gwarko, Lalitpur, Nepal. Norvic International Hospital, Thapathali, Kathmandu, Nepal.
Ishan Children and Woman's Pvt. Ltd Hospital, Basundhara, Kathmandu, Nepal. Norvic International Hospital, Thapathali, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2022 Apr-Jun;20(78):188-192.
Background Pilonidal sinus disease is an acquired condition that commonly arises in the hair follicles of the gluteal cleft with male predominance. Different treatment modalities have been described in the literature ranging from simple incision and drainage, wide local excision to complex plastic flaps. Objective To evaluate the efficacy and outcome of Limberg's flap reconstruction in a community hospital. Method This is a prospective study conducted over two-year duration in forty-two patients in the department of Surgery at Dhulikhel Hospital Kathmandu University Hospital from January 2017 till December 2018. Result Total of 42 patients were operated ranging from 16-31 years with mean of 22.86 years, male to female ratio was 7.5:1, 52% were students and 19% were drivers. Mean operative duration was 61.86±25.3 minutes, length of hospital stay was 2.83±1.68 days, mean duration of drain in situ was 4±1.34 days, mean days for return to work was 14.5±5.7. We had a complication rate of 9.52% out of which 4.76% had seroma, 2.38% hematoma, 2.38% wound infection, and there was no flap necrosis or recurrence. Conclusion It is a simple, easy to learn and safe procedure with good cosmetic results and low recurrence rate. It can be considered as an alternative to other flap and plasty procedures.
藏毛窦疾病是一种后天性疾病，常见于臀沟的毛囊，男性居多。文献中描述了不同的治疗方式，从简单的切开引流、广泛局部切除到复杂的整形皮瓣。目的：评估在社区医院进行Limberg皮瓣重建术的疗效和结果。方法：这是一项前瞻性研究，于2017年1月至2018年12月在加德满都大学医院杜利凯尔医院外科对42例患者进行了为期两年的研究。结果：共对42例患者进行了手术，年龄在16至31岁之间，平均年龄为22.86岁，男女比例为7.5:1，52%为学生，19%为司机。平均手术时间为61.86±25.3分钟，住院时间为2.83±1.68天，引流管平均留置时间为4±1.34天，平均恢复工作天数为14.5±5.7天。并发症发生率为9.52%，其中血清肿占4.76%，血肿占2.38%，伤口感染占2.38%，未出现皮瓣坏死或复发。结论：这是一种简单、易学且安全的手术，美容效果好，复发率低。它可被视为其他皮瓣和整形手术的替代方法。
