Clinical ScienceComparison of modified Limberg flap transposition and lateral advancement flap transposition with Burow’s triangle in the treatment of pilonidal sinus disease
Section snippets
Study design
This study was planned as a prospective randomized clinical trial. The study subjects were 100 consecutive patients with PSD admitted to Ankara Mevki Military Hospital General Surgery Service between May 2013 and August 2013. The study protocol was approved by the Gulhane Military Medical Academy Local Ethics Council (number 001642), and was registered at ClinicalTrials.gov (NCT number 02116738). All patients in the study received detailed preoperative information about the study, and confirmed
Results
The study subjects consisted of 100 men (100%). The median age of the individuals was 23 (19 to 34) years. The operative time was determined as follows: minimum: 35 minutes and maximum: 90 minutes. The average BMI was moderate (25.4 ± 2.7) (Table 1).
No statistically significant differences were found in age, BMI, operative time, and hospital length of stay between the groups (P > .05) (Table 1).
The VAS scores were similar between groups (z = 1.590, P = .112). In the patients who underwent the
Comments
There is no consensus on the treatment of PSD, with many debates ongoing regarding the best treatment. A study conducted in Turkey showed that 83% of the surgeons prefer surgical methods in the treatment of PSD.7 The optimal surgical procedures for PSD should result in minimal length of hospital stay, satisfactory VAS scores, low disease recurrence, low complication rates, as much esthetic satisfaction as possible, and allow patients to return quickly to work.8, 9
Complications and recurrence
Conclusion
In conclusion, all the flap techniques have some advantages or disadvantages. The results of this study did not reveal a statistically significant difference between the 2 flap techniques in terms of recurrence rate, VAS pain scores, length of hospital stay, wound dehiscence, SSI, or mean operative time. In addition, beside our clinical experiences, we found approximate equivalence in both procedures. On this subject, further randomized controlled studies with a large number of patients and
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There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
The authors declare no conflicts of interest.