Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study
Introduction: Open excision is one of the simple surgical techniques for the correction of pilonidal sinus, in the recent times, the rhomboid excision with limberg flap is being practiced commonly due to increased patient’s satisfaction, reduced pain, etc. Aim: To assess the surgical outcome of...
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doaj-b3a2cf27548b4878b88a23c484046c1c2021-07-09T17:26:59ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742021-07-01103SO19SO2210.7860/IJARS/2021/48621:2670Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort StudyMB Satish Kumar0 K Avadhani Geetha1K SACHIN2Associate Professor, Department of General Surgery, Adichunchangiri Institute of Medical Sciences and Research Centre, B.G. Nagar, Bellur, Mandya District, Karnataka, India.Professor, Department of General Surgery, Adichunchangiri Institute of Medical Sciences and Research Centre, B.G. Nagar, Bellur, Mandya District, Karnataka, India.Assistant Professor, Department of General Surgery, Adichunchangiri Institute of Medical Sciences and Research Centre, B.G. Nagar, Bellur, Mandya District, Karnataka, India.Introduction: Open excision is one of the simple surgical techniques for the correction of pilonidal sinus, in the recent times, the rhomboid excision with limberg flap is being practiced commonly due to increased patient’s satisfaction, reduced pain, etc. Aim: To assess the surgical outcome of open excision and rhomboid excision with limberg flap. Materials and Methods: A hospital-based cohort study was done among patients with pilonidal sinus requiring surgical treatment, in Department of Surgery in Adichunchangiri Institute of Medical Sciences and Research Centre, B.G. Nagar, Bellur, Mandya District, Karnataka, India. The study was conducted during June 2018 to December 2019. Participants who underwent open excision were included in group A (n=40) and rhomboid excision with Limberg’s flap were included in group B (n=40). Patients were followed-up for a period of one month. The key outcome assessed were mean duration of surgery, pain during the first three postoperative days, time taken for discharge and return to work, complications and patients satisfaction. Analysis was done using statistical package for social sciences version 20. Results: Rhomboid excision with Limberg’s flap was found to be significantly better than open excision method in terms of pain, duration of hospital stay, time taken to return to profession, patient’s satisfaction and overall complications but there were no significant difference noted with respect to individual complication and duration of time taken for surgical procedure. Conclusion: Rhomboid excision with Limberg’s flap is comparatively better than open excision.http://www.ijars.net/articles/PDF/2670/48621_CE[Ra1]_F(SHU)_Pf1(MG_SHU)_PFA(MG_KM)_PN(KM).pdflimberg’s flapopen excisionrural population |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
MB Satish Kumar K Avadhani Geetha K SACHIN |
spellingShingle |
MB Satish Kumar K Avadhani Geetha K SACHIN Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study International Journal of Anatomy Radiology and Surgery limberg’s flap open excision rural population |
author_facet |
MB Satish Kumar K Avadhani Geetha K SACHIN |
author_sort |
MB Satish Kumar |
title |
Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study |
title_short |
Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study |
title_full |
Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study |
title_fullStr |
Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study |
title_full_unstemmed |
Open Method Versus Flap Closure in Pilonidal Sinus in a Rural Tertiary Care Hospital, Karnataka- A Cohort Study |
title_sort |
open method versus flap closure in pilonidal sinus in a rural tertiary care hospital, karnataka- a cohort study |
publisher |
JCDR Research and Publications Pvt. Ltd. |
series |
International Journal of Anatomy Radiology and Surgery |
issn |
2277-8543 2455-6874 |
publishDate |
2021-07-01 |
description |
Introduction: Open excision is one of the simple surgical
techniques for the correction of pilonidal sinus, in the recent times,
the rhomboid excision with limberg flap is being practiced commonly
due to increased patient’s satisfaction, reduced pain, etc.
Aim: To assess the surgical outcome of open excision and
rhomboid excision with limberg flap.
Materials and Methods: A hospital-based cohort study was done
among patients with pilonidal sinus requiring surgical treatment,
in Department of Surgery in Adichunchangiri Institute of Medical
Sciences and Research Centre, B.G. Nagar, Bellur, Mandya
District, Karnataka, India. The study was conducted during June
2018 to December 2019. Participants who underwent open
excision were included in group A (n=40) and rhomboid excision
with Limberg’s flap were included in group B (n=40). Patients
were followed-up for a period of one month. The key outcome
assessed were mean duration of surgery, pain during the first
three postoperative days, time taken for discharge and return to
work, complications and patients satisfaction. Analysis was done
using statistical package for social sciences version 20.
Results: Rhomboid excision with Limberg’s flap was found to
be significantly better than open excision method in terms of
pain, duration of hospital stay, time taken to return to profession,
patient’s satisfaction and overall complications but there
were no significant difference noted with respect to individual
complication and duration of time taken for surgical procedure.
Conclusion: Rhomboid excision with Limberg’s flap is
comparatively better than open excision. |
topic |
limberg’s flap open excision rural population |
url |
http://www.ijars.net/articles/PDF/2670/48621_CE[Ra1]_F(SHU)_Pf1(MG_SHU)_PFA(MG_KM)_PN(KM).pdf |
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