Comparison of outcome of Simple Excision vs Limberg Flap of pilonidal sinus in terms of post operative pain, operative time, wound infection and hospital stay.

Authors

  • Muhammad Aqeel Azra Naheed Medical College/CMA Hospital, Lahore.
  • Ahmed Siddique Ammar Azra Naheed Medical College/CMA Hospital, Lahore.
  • Muhammad Shoaib Azra Naheed Medical College/CMA Hospital, Lahore.
  • Humaira Alam Associate Professor Surgery,Azra Naheed Medical College Lahore
  • Wajahat Amir Azra Naheed Medical College/CMA Hospital, Lahore.
  • Abrar ul Hassan Pirzada Azra Naheed Medical College/CMA Hospital, Lahore.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8265

Keywords:

Excision, Limberg Flap, Pilonidal Sinus, Pain, Visual Analogue Score, Wound Infection

Abstract

Objective: To compare post operative pain, wound infection, intraoperative time and length of hospital stay in both groups of simple excision and Limberg flap. Study Design: Comparative Prospective study. Setting: CMA Teaching and Research Hospital/Azra Naheed Medical and Dental College, Lahore, Pakistan. Period: 1st September 2021 to 1st September 2023. Methods: After approval from the Institutional review board of Azra Naheed Medical & Dental College/CMA Hospital, the sample was 120 patients was raised using non-convenience probability sampling divided into 2 groups. Group A patients underwent simple excision while Group B patients underwent Limberg flap Inclusion criteria include all the patients with age more than 13 years and diagnosed as case of pilonidal sinus. All the data was entered and processed by using SPSS 26. Comparison of two groups was done by apply independent sample t-test. A p-value of ≤ 0.05 was considered significant. Results: The average age of the patients was 45.88 ± 9.78 years with minimum and maximum ages were 15 & 59 year respectively. Mean post operative pain was 2.6 ± 1.9 in group A while 3.9 ± 2.7 in group B (p value = <0.05). Similarly wound infection, duration of surgery and length of hospital stay were also less in group A patients as compared to group B patients. Conclusion: Simple excision of pilonidal sinus is better from Limberg flap in terms of post operative pain, wound infection, duration of surgery and length of hospital stay.

Author Biographies

Muhammad Aqeel, Azra Naheed Medical College/CMA Hospital, Lahore.

MBBS, FCPS, Assistant Professor General Surgery, 

Ahmed Siddique Ammar, Azra Naheed Medical College/CMA Hospital, Lahore.

MBBS, MS, FACS, CHPE, Assistant Professor General Surgery, 

Muhammad Shoaib, Azra Naheed Medical College/CMA Hospital, Lahore.

MBBS, FCPS, Professor General Surgery, 

Wajahat Amir, Azra Naheed Medical College/CMA Hospital, Lahore.

MBBS, FCPS, Assistant Professor General Surgery, 

Abrar ul Hassan Pirzada, Azra Naheed Medical College/CMA Hospital, Lahore.

MBBS, FCPS, Associate Professor Plastic Surgery, 

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Published

2024-11-03