چکیده (انگلیسی):

Background: Pilonidal sinus disease is an inflammatory disease seen in the
intergluteal region, which is a commonly encountered problem in surgical practice that
mostly affects young people. The aim of this study is to assess the effectiveness of the modi-
fied Limberg flap technique with eyedrop excision in the treatment of pilonidal sinus disease.
Patients: The study population consisted of 91 patients with pilonidal disease in the sacrococcygeal
region who underwent operation between June 2010 and December 2012. All
cases underwent eyedrop-shaped excision and modified Limberg flap reconstruction.
Results: The mean operative time was 41.2
6.7 minutes. All patients were followed up for
>8 months, and the mean follow-up period was 13.1
3.7 months. There were three wound
dehiscences because of fecal contamination and riding cycle on postoperative Day 5. Seroma
and flap echimosis were observed in two and four cases, respectively. Five patients experienced
recurrence in this series (4.5%).
Conclusion: The results of the present study suggest that use of the eyedrop-shaped modi-
fied Limberg flap is associated with a lower maceration and recurrence rate when compared with the available data on the use of the Limberg flap. Flap necrosis and wound healing was
better, and the routine use of drains did not affect the wound-related complications and
recurrence rates