Modified Limberg's flap versus primary closure for treatment of XXXX : a comparative study.

@entity1 @entity281 @entity2869
OBJECTIVES: To compare the outcome of Rhomboid excision and Modified Limberg's flap closure with excision and primary closure for the treatment of Sacrococcygeal Pilonidal sinus. METHODS: The study was conducted at the Surgical Department of Mayo Hospital, Lahore, from 2009 to 2012. A total of 60 @entity1 of @entity2869 were randomly divided into two equal groups. The @entity1 were operated under general anaesthesia in prone position by Rhomboid excision and Modified Limberg's flap closure with a closed suction drain in group 1, and excision and primary closure over a drain in group 2. @entity1 were followed up for 12 months for surgical complications of the treatment. SPSS 17 was used for statistical analysis. RESULTS: In group 1 there were 27(90%) males and 3(10%) females, while group 2 had 28(93.3%) males and 2(6.7%) females. The @entity281 rates were observed to be 2(7%) in group 1 and 8(26.6%) (p<0.038) in group 2. The recurrence rate was only 1(3.3%) in group 1 compared to 4(13.3%) in group 2. Average hospital stay was 1.63  0.67 days group 1 and 2.8  1.24 days in group 2. CONCLUSION: Modified Limberg's flap closure is an effective treatment modality for @entity2869 with 1.5 times less @entity281 rate, 4 times less recurrence rate and 40% in-hospital time.
