Hellow guys, Welcome to my website, and you are watching LIMBERG FLAP PROCEDURE FOR SACROCOCCYGEAL PILONIDAL SINUS. and this vIdeo is uploaded by George Theodoropoulos, MD, FACS, FASCRS at 2023-07-20T07:13:11-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | LIMBERG FLAP PROCEDURE FOR SACROCOCCYGEAL PILONIDAL SINUS |
| Video Uploader | Video From George Theodoropoulos, MD, FACS, FASCRS |
| Upload Date | This Video Uploaded At 20-07-2023 14:13:11 |
| Video Discription | George Theodoropoulos, MD, FACS, FASCRS Professor of Surgery, Athens Medical School Athens, Greece The Limberg flap was described by Alexander Limberg in 1948. It is a transposition flap for coverage of a rhomboid-shaped defect with opposite sides of equal length and opposite medial and lateral angles of 120° and superior and inferior angles of 60°. The Limberg flap allows for tension-free closure of the rhomboid-shaped defect and the donor site. Several studies have supported the Limberg transposition flap as a highly efficacious treatment of choice for chronic sacrococcygeal pilonidal sinus. Its superior results compared to other surgical treatment options are confirmed by the decreased disease recurrence, the less flap failures and minimal complications. The procedure was performed in ****e position under general anesthesia. A rhomboid-shaped area of skin was marked over the sacrococcygeal pilonidal sinus and included any lateral extensions. The angles of the excised area of skin were 120° at the medial and lateral aspects and 60° at the superior and inferior aspects. A Limberg flap was designed with limb lengths similar in size to the rhomboid-shaped defect. The skin and subcutaneous tissue of the rhomboid-shaped area was incised and elevated at the level of the pre-sacral fascia and above the gluteus maximus fascia. All affected tissue was excised. Hemostasis was achieved and the wound was copiously irrigated. A Jackson-Pratt drain was brought out through a small stab incision. The Limberg flap was then transposed into the defect. The flap and donor site were closed primarily in multiple layers. |
| Category | Education |
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