Comparison of V-Y flap and Limberg flap methods in pilonidal sinus surgery

• Published in: Turkish journal of colorectal disease 2019, Vol.29 (2), p.69-74
• Main Authors: Sarı,Ramazan, Akbaba,Soner, Gündoğdu,Rıza Haldun, Yazıcıoğlu,Mustafa Ömer
• Format: Article
• Language: English
• Subjects: Tıp
• ISSN: 2536-4898; 2536-4901
• DOI: 10.4274/tjcd.galenos.2018.10437

Aim: The aim of this study was to compare the advantages of V-Y flap and Limberg flap techniques in the surgical management of complicated pilonidal sinus disease requiring extensive excision, and to review the superiorities of each other in the light of the literature. Method: The study included 100 patients who were hospitalized with the diagnosis of pilonidal sinus disease and who were planned to undergo flap reconstruction due to the diameter of the defect. Patients were randomly divided into two groups as A and B. Fifty patients in group A underwent V-Y flap and 50 patients in group B underwent Limberg flap. Both groups were prospectively followed-up in terms of complications, recovery times, workforce losses, patient satisfaction and 2-year recurrence rates, and the findings were compared statistically. Results: Demographic characteristics, complaints and clinical findings of both groups were similar. Although postoperative wound infection rates were similar (26% vs. 28%; p>0.05), wound dehiscence was more common in the Limberg group (36% vs. 26%; p