Analysis of the Relapse Rates of the Primary Closure and Limberg Flap Techniques in Pilonidal Sinus Surgery

Abstract

Background This study aimed to assess the relapse rates at the long-term follow-up of the Limberg flap repair (LFR) and primary closure (PC) methods in the surgical treatment of pilonidal sinus disease (PSD). Methods The records of primary PSDs who underwent LFR and PC due to PSD were retrospectively examined. The study included patients whose surgical intervention was performed at least two years ago. The patients were contacted by phone to obtain information. They were asked whether they had a relapse or not, and their answers were recorded. The recording and analysis were ensured using the SPSS statistical program (IBM Corp, Armonk, NY, US). The groups were compared using the chi-square test. p˂0.05 was considered significant. Results The patients' mean age was 23.68 ± 8.21 years, and their median age was 22 years. The overall follow-up period was 4.38 ± 2.12 years. LFR-treated patients numbered 292; 38 (13.01%) females and 254 (86.99%) males. Of the LFR-treated patients, 23 (7.87%) had a relapse, including five (13.15%) females and 18 (7.08%) males (p˂0.03). PC-treated patients numbered 184; 58 (31.52%) females and 126 (68.48%) males. Of PC-treated patients, 39 (21.19%) had a relapse, including 15 (25.86%) females and 24 (19.04%) males (p˂0.04). The relapse was more than three times higher in PC when compared to LFR (p˂0.01). Conclusion LFR clearly takes precedence over PC. In both methods, the relapse rate is higher in females. We believe that this is due to our tendency to be more limited in resection in women.

Comparison of Primary Simple Closure and Limberg Flap Technique in Pilonidal Sinus

“…Males are twice more affected as females and the incidence of the disease is reported as 26 per 100,000 population [2]. Several surgical interventions are described in the literature despite conservative management, but the problem of treatment failure and disease recurrence is quite significant, which leads to morbidity in these otherwise healthy patients and hence interventions have variable success rates [3,4]. As compared to simple excision, primary closure is the preferred technique as it is associated with a lower risk of postoperative infection and wound dehiscence, rapid healing by primary intention, and less number of postoperative visits, less pain, and earlier hospital discharge, and social mobility [5].…”

Resolución De Quiste Pilonidal Mediante Técnica De Colgajo en H. Resolution of the Pilonidal Cyst Using the Flap Technique in H.

“…2 Es una enfermedad con una frecuencia aproximada de 26 por cada 100.000 habitantes, la relación hombre-mujer es de 2: 1,3,4 aunque en algunas series puede ser de 3:1 o 5:1. 5 Se presenta con mayor frecuencia entre los 15 a los 30 años de edad. 6 Existen dos teorías sobre su formación fisiopatológica.…”