Leung Emily, Finlayson Andrew
School of Medicine, University of Western Australia, 35 Stirling Highway, Perth, WA, 6009, Australia.
Colorectal Unit, Department of General Surgery, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands 6009, Australia.
J Surg Case Rep. 2024 Nov 6;2024(11):rjae683. doi: 10.1093/jscr/rjae683. eCollection 2024 Nov.
Pilonidal sinuses are chronic inflammation and/or infection of the intergluteal region. Recurrent disease is common and is a source of significant morbidity for affected patients. We present a case of an eighteen-year-old male with extensive recurrent pilonidal disease. A novel technique of a double Limberg flap repair was used, with the vertical axes of each flap positioned to optimise wound tension. The cranio-caudal length of the disease in the natal cleft would have resulted in a large amount of excised normal tissue laterally if a single Limberg flap was considered. To avoid this, we used two Limberg flaps over the craniocaudal length to minimise the laterally excised tissue. The patient made an uneventful recovery with no recurrence at 3 months follow-up. This technique demonstrates the flexibility of the Limberg flap, and that a double flap may be successfully used in extensive disease.
藏毛窦是臀间区域的慢性炎症和/或感染。复发性疾病很常见，是受影响患者显著发病的一个原因。我们报告一例18岁男性广泛复发性藏毛疾病的病例。采用了一种新型的双Limberg皮瓣修复技术，每个皮瓣的垂直轴定位以优化伤口张力。如果考虑采用单Limberg皮瓣，臀裂处疾病的头尾长度会导致大量正常组织被横向切除。为避免这种情况，我们在头尾长度上使用了两个Limberg皮瓣，以尽量减少横向切除的组织。患者恢复顺利，在3个月的随访中无复发。该技术展示了Limberg皮瓣的灵活性，并且双皮瓣可成功用于广泛的疾病。
