Comparison of Z-plasty, limberg flap, and asymmetric modified Limberg flap techniques for the pilonidal sinus treatment: review of literature.

BACKGROUND AND AIMS The aim of this study is to analyze and compare the early complications and recurrent results of Z-plasty, Limberg flap, and asymmetric modified Limberg flap both demographically and clinically. MATERIALS AND METHODS Between March 2009 and February 2010, a total of 45 patients with pilonidal sinus were enrolled in this study. 10 of 45 patients (22.2%) required Z-plasty; 24 patients (53.3%) had surgery with Limberg flap closure, and 11 patients (24.4%) had asymmetric modified Limberg flap. RESULTS A total of 45 patients were included in the study (mean age: 23.36 > +/- 3.4 (range, 20-33) years). When we compared duration of operation and the length of stay in hospital, no statistically significant findings were detected (p = 0.595 and p = 0.23, respectively). The mean follow-up was 22.4 (range, 18-24) months. Recurrence was not seen in any of the patients. CONCLUSIONS Our results were similar: the comparison of the three techniques revealed no significant differences regarding early complications and recurrence.