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Early experience with the use of rhomboid excision and Limberg flap in 16 adolescents with pilonidal disease.

Abstract：

BACKGROUND:Rhomboid excision with Limberg flap (RELF) repair has been shown to be effective in the management of pilonidal disease (PD) in adults. Wide excision allows complete removal of diseased tissue, and the rotational flap allows tensionless coverage as well as helps flatten the natal crease, which is believed to contribute to the recurrence of PD. METHODS:This study is a retrospective review of all adolescents who underwent excision of pilonidal disease using RELF at a single institution for a period of 18 months. RESULTS:Sixteen adolescents with PD were treated with RELF during this period. All procedures were completed with no intraoperative complications. Mean operative time and hospital stay were 92 +/- 30 minutes and 1.8 +/- 0.29 days, respectively. Mean follow-up was 11 +/- 6.0 months. One patient had recurrence of his disease, and one needed prolonged wound care after wound breakdown. Six others had minor complications including 4 patients (25%) who had superficial wound separation that resolved promptly with dressing change. One patient had a superficial wound infection. One patient had residual pain. CONCLUSION:Rhomboid excision with Limberg flap is effective in the management of PD in adolescents. The 6% recurrence rate is similar to that reported in the adult literature. Despite the limitations of this study, the low morbidity, hospital stay, and recurrence rate noted with our initial experience are very encouraging.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Yamout SZ,Caty MG,Lee YH,Lau ST,Escobar MA,Glick PL

doi

10.1016/j.jpedsurg.2008.11.033

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1586-90

issue

8

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(08)01044-0

journal_volume

44

pub_type

杂志文章

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