The American Journal of Surgery
Volume 200, Issue 1 , Pages 9-14 , July 2010

Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease

Received 4 February 2009 ,Revised 26 May 2009

References 

  1. Mayo OH. Observation on Injures and Disease of Rectum. London: Burgess and Hill; 1833;
  2. Hodge RM. Pilonidal sinus. Boston Med Surg J. 1880;103:485–486493–544
  3. McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2007;17:CD006213
  4. Aldemir M, Kara IH, Erten G, et al. Effectiveness of collagenase in the treatment of sacrococcygeal pilonidal sinus disease. Surg Today. 2003;33:106–109
  5. Aydede H, Erhan Y, Sakarya A, et al. Comparison of three methods in surgical treatment of pilonidal disease. J Surg. 2001;71:369–374
  6. Golberg SM, Gordon PH, Nivatvong SS. Essentials of Anorectal Surgery. In: Philadelphia: J B Lippincott; 1980;p. 128–133
  7. McCallum IJ, King PM, Bruce J. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ. 2008;336:868–871
  8. Kim YA, Thomas I. Metastatic squamous cell carcinoma arising in a pilonidal sinus. J Am Acad Dermatol. 1993;29:272–274
  9. Arumugam PJ, Chandrasekaran TV, Morgan AR, et al. The rhomboid flap for pilonidal disease. Colorectal Dis. 2003;5:218–221
  10. Serour F, Somekh E, Krutman B, et al. Excision with primary closure and suction drainage for pilonidal sinus in adolescent patients. Pediatr Surg Int. 2002;18:159–161
  11. Holzer B, Grußner U, Brückner B, et al. Efficacy and tolerance of a new gentamicin collagen fleece (Septocoll®) after surgical treatment of a pilonidal sinus. Colorectal Dis. 2003;5:222–227
  12. Kapan M, Kapan S, Pekmeczi S, et al. Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol. 2002;6:27–32
  13. Alver O, Kaybasi B, Ozcan M, et al. The complete rhombic excision of pilonidal sinus with primary closure by the use of fasciocutaneous Limberg flap. Contemp Surg. 1988;33:54–56
  14. Marks J, Harding KG, Hughes LE, et al. Pilonidal sinus: excision-healing by open granulation. Br J Surg. 1985;72:637–640
  15. McLaren CA. Partial closure and other techniques in pilonidal surgery: an assessment of 175 cases. Br J Surg. 1984;71:561–562
  16. Abu Galala KH, Salam IM, Abu Samaan KR, et al. Treatment of pilonidal sinus by primary closure with a transposed rhomboid flap compared with deep suturing: a prospective randomized clinical trial. Eur J Surg. 1999;165:468–472
  17. Quinodoz PD, Chilcott M, Grolleau JL, et al. Surgical treatment of sacrococcygeal pilonidal sinus disease by excision and skin flaps: the Toulouse experience. Eur J Surg. 1999;165:1061–1065
  18. Milito G, Cortese F, Casciani CU. Rhomboid flap procedure for pilonidal sinus: results from 67 cases. Int J Colorectal Dis. 1998;13:113–115
  19. Chintapatla S, Safarani N, Kumar S, et al. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol. 2003;7:3–8
  20. Muzi MG, Milito G, Nigro C, et al. A modification of primary closure for the treatment of pilonidal disease in day-care setting. Colorectal Dis. 2009;11:84–88
  21. Spivak H, Brooks VL, Nussbaum M, et al. Treatment of chronic pilonidal disease. Dis Colon Rectum. 1996;39:1136–1139
  22. Allen-Mersh TG. Pilonidal sinus: finding the right tract for the treatment. Br J Surg. 1990;77:123–132
  23. Mahdy T. Surgical treatment of the pilonidal disease: primary closure or flap reconstruction after excision. Dis Colon Rectum. 2008;51:1816–1822
  24. Cihan A, Ucan BH, Comert M, et al. Superiority of asymmetric modified Limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum. 2005;49:244–249
  25. Morden P, Drongowski RA, Geiger JD, et al. Comparison of Karydakis versus midline excision for treatment of pilonidal sinus disease. Pediatr Surg Int. 2005;21:793–796
  26. Ertan T, Koc M, Gocmen E, et al. Does technique alter quality of life after pilonidal sinus surgery?. Am J Surg. 2005;190:388–392
  27. Akca T, Colak T, Ustunsoy B, et al. Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease. Br J Surg. 2005;92:1081–1084
  28. Berkem H, Topaloglu S, Ozel H, et al. Advancement flap closures for complicated pilonidal sinus disease. Int J Colorectal Dis. 2005;20:343–348
  29. Cihan A, Mentes BB, Tatlicioglu E, et al. Modified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery. Aust N Z J Surg. 2004;74:238–242
  30. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative processes. Aust N Z J Surg. 1992;62:385–389
  31. Vogel P, Lenz J. Die Behandlung des sinus pilonidalis mittel excision und primärnaht unter verwendung eines lokjalen, resorbierbaren antibiotikumträgersergebnisse einer prospektiven, randomisierten untersuchung. ergebnisse einer prospektiven, randomisierten untersuchung. Chirurg. 1992;63:748–753
  32. Holzer B, Grüßner U, Brückner B, et al. Rosen and the EMD study group efficacy and tolerance of a new gentamicin collagen fleece (Septocoll) after surgical treatment of a pilonidal sinus. Colorectal Dis. 2003;5:222–227
  33. Gruessner U, Clemens M, Pahlplatz PV, et al. Improvement of perineal wound healing by local administration of gentamicin-impregnated collagen fleeces after abdominoperineal excision of rectal cancer. Am J Surg. 2001;182:502–509

PII: S0002-9610(09)00622-9

doi: 10.1016/j.amjsurg.2009.05.036

The American Journal of Surgery
Volume 200, Issue 1 , Pages 9-14 , July 2010