Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases

Giovanni Milito, Marco Gargiani, Marco Muzi Gallinela, Alessandro Crocoli, Mary Spyrou, Attilio Maria Farinon

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

AIM OF THIS STUDY: to report our results in a large series of patients with chronic pilonidal sinus (PS) at long term follow up. MATERIALS AND METHODS: Two hundred sixteen patients underwent excision and rhomboid flap transposition (RFT) from 1986 to 2004 for PS, and followed for more than two years. Clinical presentation includes: pilonidal abscess treated by drainage (33%), chronic discharge (48%) and simple infected sinus (19%). Mean follow-up was 74,4 months (range: 24-96). RESULTS: Minimal flap necrosis occurred in 5 pts (2.3%), post operative infection in 2 pts (0.9%), 4 pts (1.8%) had a seroma, 18 pts (8.3%) anesthesia or hypoesthesia on the upper portion of the flap. The mean hospitalization was 3.1 ± 0.30 days and return to work was 10.8 ± 2,4 days. Recurrences occurred in 5 pts (7.4%) in our initial 87 pts. Since we modified the technique no recurrences were seen. CONCLUSIONS: The Limberg's technique is a very effective procedure for chronic or recurrent PS with a low complications rate, a short hospital stay, a rapid return to normal activities and a low recurrence rate. Moreover with the modified technique the wound healing and the rate of recurrences have shown a significant decrease.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalAnnali Italiani di Chirurgia
Volume78
Issue number3
Publication statusPublished - May 2007

Fingerprint

Pilonidal Sinus
Recurrence
Seroma
Return to Work
Hypesthesia
Wound Healing
Abscess
Drainage
Length of Stay
Hospitalization
Necrosis
Anesthesia
Infection

Keywords

  • Long term follow up
  • Modified Limberg's technique
  • Pilonidal sinus

ASJC Scopus subject areas

  • Surgery

Cite this

Milito, G., Gargiani, M., Gallinela, M. M., Crocoli, A., Spyrou, M., & Farinon, A. M. (2007). Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases. Annali Italiani di Chirurgia, 78(3), 227-231.

Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases. / Milito, Giovanni; Gargiani, Marco; Gallinela, Marco Muzi; Crocoli, Alessandro; Spyrou, Mary; Farinon, Attilio Maria.

In: Annali Italiani di Chirurgia, Vol. 78, No. 3, 05.2007, p. 227-231.

Research output: Contribution to journalArticle

Milito, G, Gargiani, M, Gallinela, MM, Crocoli, A, Spyrou, M & Farinon, AM 2007, 'Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases', Annali Italiani di Chirurgia, vol. 78, no. 3, pp. 227-231.
Milito, Giovanni ; Gargiani, Marco ; Gallinela, Marco Muzi ; Crocoli, Alessandro ; Spyrou, Mary ; Farinon, Attilio Maria. / Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases. In: Annali Italiani di Chirurgia. 2007 ; Vol. 78, No. 3. pp. 227-231.
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