Primary Closure versus Limberg Flap for Reconstruction of Sacrococcygeal Pilonidal Defect: A Comparative Study.

Abstract

acrococcygeal pilonidal disease is a common chronic condition usually affecting young adults under 40 years. Its incidences are higher in male than in female and increase with obesity and hairy skin. The disease usually occurs in the intergluteal region, although it may occur elsewhere such as the umbilicus and in finger webs in hair dressers (Lee, P., et al., 2008). Regarding the pathophysiology of the disease, it has been commonly thought to be embryonic or acquired (Lee, P., et al., 2008). Clinical presentation ranges from the simple pit to the complex infected type with multiple orifices and purulent or serosanguinous discharge (Velasco, A. L., & Dunlap, W. W. (2009). Clinical diagnosis is straight forward varying from acute pilonidal abscess, chronic pilonidal sinus, complicated pilonidal sinus and recurrent pilonidal disease. Accordingly, different treatments have been introduced including non-operative management, excisional and incisional procedures and flaps (Topgül, K. (2010).