Hellow guys, Welcome to my website, and you are watching Limberg flap for PILONIDAL SINUS - STEP BY STEP. and this vIdeo is uploaded by Dr Chintan B Patel - Best Bariatric / Laparoscopic & General Surgeon in Surat, Gujarat, India at 2019-11-15T10:15:33-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Limberg flap for PILONIDAL SINUS - STEP BY STEP |
| Video Uploader | Video From Dr Chintan B Patel - Best Bariatric / Laparoscopic & General Surgeon in Surat, Gujarat, India |
| Upload Date | This Video Uploaded At 15-11-2019 18:15:33 |
| Video Discription | What is best treatment for pilonidal sinus ? Limberg Flap for Sacrococcygeal Pilonidal Sinus a Safe and Sound Procedure Sacrococcygeal pilonidal sinus is a common disease of the adult age group, especially male population, causing significant morbidity from both disease and surgery done for the same. It is essentially a cleavage between the buttocks (i.e., natal cleft), and diagnosis is made by identifying the epithelialized follicle opening (i.e., sinus). The name pilonidal is taken from Latin meaning “nest of hairs.” The estimated incidence is 26 per 1,00,000 people . It generally presents as a cyst, abscess, or sinus tracts with or without discharge. Men affected more often than women , rare both before puberty and after the age of 40 years. Rarely may it present in the fourth decade. The etiology of the pilonidal sinus is a matter of controversy. This condition was probably first described by Mayo in 1833, who suggested that it was due to congenital origin secondary to a remnant of an epithelial lined tract from postcoccygeal epidermal cell rests or vestigial scent cells. Now the view widely shifted toward acquired theory is based on the observations that congenital tracts do not contain hair and are lined by cuboidal epithelium. A widely acceptable view is that they are caused by local trauma, poor hygiene, excessive hairiness, and presence of deep natal cleft. Karydakis proposed three main factors causing the disease, namely high quantity of hair, extreme force, and vulnerability to infection. The management of the sacrococcygeal pilonidal sinus varies from clipping of hairs with good hygiene of the area, wide excision of the area, and newer flap procedures, but none is widely accepted. Excision and packing, excision and primary closure, marsupialization, and flap techniques are the surgical procedures that have been suggested for the treatment. The main concern for the treatment to the patient is the recurrence; the literature review suggested that it ranged from 20–40 % regardless of the technique used. Many reasons were attributed to recurrence, such as leaving behind some tracts, sutures in midline causing more trauma with repeated infection accumulation of perspiration, and friction with tendency of the hair getting incorporated into the wound. Limberg rhomboid flap for sacrococcygeal pilonidal sinus was designed by Limberg in 1946, who described a technique for closing a 60 ° rhombus-shaped defect with a transposition flap. This flap was easy to perform, with sutures away from the midline giving rise to a tensionless flap of unscarred skin in the midline, which helps in good hygiene maintenance, reducing sweating maceration, erosions, and scar formation. Literature study showed that Limberg flap reconstruction following rhomboid excision of the sinus area was superior to primary closure and other flap procedures and a safe and reliable method in sacrococcygeal pilonidal sinus disease with low complication and recurrence rates. #PilonidalSinus #LimbergFlap #YourSurgeon #Surat #PilonidalSinusTreatment #Pilonidal |
| Category | Science & Technology |
| Tags | limberg flap | Pilonidal sinus | pilonidal | treatment for PILONIDAL SINUS | operation for PILONIDAL sinus | surgery for PILONIDAL SINUS | limberg flap operation | limberg flap surgery | everything about pilonidal sinus | Pilonidal cyst | pilonidal abscess |
