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Limberg flap technique

This video educates about how to take Limberg Flap very well explained by Respected Dr Arshad Ahmed from KGMU Lucknow at Surgilapcon 2019 held at Dr RML Hosp.. First, the area was marked as described for the original Limberg flap technique (Fig. 1A), but then a rhomboid-shaped excision was performed by transposing the first area 1-2 cm laterally from the midline, a deviation from the original technique.The incision line was marked as described in Fig. 1B. A rhomboid-shaped excision of the sinus tract was performed en bloc and was then extended down. Limberg Flap Method For Pilonidal Sinus. Earlier, the open surgery technique was used for the treatment of pilonidal sinus. Out of all the available procedures for surgery, the doctors considered the Limberg flap procedure to be the most effective. The Limberg flap for pilonidal sinus was designed by Limberg in 1946 principles. Limberg flap is a safe and reliable technique with lowest recurrence rate and complications. This study was carried out to evaluate the usefulness of limberg flap techniques to treat Pilonidal sinus in periods of two years in surgical department of Ch. Akram Teaching & Research Hospital, Lahore A Limberg flap operation is a procedure for people who have either extensive or recurrent pilonidal disease. In the operation, a diamond-shaped incision (cut) is made to remove the affected skin and underlying tissue. Another incision is made in the skin to free up tissue from the buttock next t

Limberg Flap Technique - YouTub

  1. g a Limberg Flap procedure for Pilonidal Sinus disease. For more information visit www.kentsurgeon.co
  2. Management techniques described in the literature have both advantages and disadvantages, and there is no gold standard treatment technique. Objective: This study evaluated whether the Limberg flap can be used reliably in scrotal defects with fewer complications than are seen with traditional techniques
  3. Conclusion: Rhomboid excision with modified Limberg flap is a promising surgical technique proved to be safe and effective in the treatment of both primary and recurrent pilonidal sinuses with less post-operative complications, short hospital stay and low recurrence rate
  4. Flap Modifications. Since Limberg's first description in 1928, a significant number of modifications have been developed. Common modifications include the double and triple flap - these techniques are described below with pictures. Dufourmentel Flap Modification. In 1962, Claude Dufourmentel modified the rhomboid flap
  5. Since Limberg introduced his original design in 1946, several modifications of the technique have been described. Although a single Limberg flap is frequently used at the face to close small to medium defects, multi-Limberg flap techniques can help the surgeon to cover moderate to large defects of the extremities, trunk, and back
  6. The Limberg-flap technique using a doubled-over skin flap allows a one stage reconstruction of the ear lobule. It is technically simple and may be performed under local anesthesia. The aesthetic results are generally well acceptable and there is a good color match between the neolobule and the surrounding skin
  7. recurrence. Therefore, numerous surgical flap techniques based on this principle are in practice. These are Karydakis flap13, Bascom flap14, V-Y advancement flap15, Limberg flap16 and modified Limberg flap17. The rhomboid flap of Limberg is a transposition flap that has been advocated for treatment of this condition

Modified Limberg flap technique in the treatment of

  1. Conclusion: Excision & Limberg flap repair is an easy and effective technique with short learning curve. Patient comfort, early healing, early return to activity, and least complications and recurrence rates are the advantages of this procedure. Keywords: Pilonidal sinus; Limberg flap; Rhomboid excision. Introductio
  2. less in Limberg method. The drain could be removed earlier in the Limberg flap procedure than in the Z-plasty technique, the difference being statistically significant. Conclusion: In this study, Limberg flap methods had a shorter duration of operation, lesser postoperative pain, and earlier drain removal time when compared to Z-plasty
  3. Although many techniques have been used to treat pilonidal sinus disease in adults, few studies have compared treatment methods for the condition in teenagers. In this study, we aimed to compare the modified Limberg flap technique with the excision and primary closure technique, both of which are used routinely in adults and teenage patients
  4. The purpose of this study was to investigate the impact of fibrin sealant on the Limberg flap procedure. Methods: Between January 2003 and January 2004, 32 male patients with pilonidal disease were randomly assigned to receive the standard Limberg flap technique (n=16) alone or with fibrin sealant application (n=16) before drain insertion
  5. Limberg flap. A Limberg (rhomboid) flap is designed to keep the healing wound away from the midline. A rhomboid-shaped incision is made over the diseased tissue in the midline. A modified version keeps the apices of the incision away from the midline. A rhomboid-shaped flap is dissected from one side, including the gluteal fascia, and rotated.
  6. The Limberg flap and BCL techniques meet these key goals. The BCL procedure is a reliable technique that presents better early-period QoL and a shorter operation. It provides results regarding early-period surgical area-related complications, healing period, and pain scores similar to those seen with the Limberg flap technique, which has been.

The rhomboid flap of Limberg is a transposition flap that has been advocated for treatment of this condition.9,10 In 1946, Limberg first described a technique for closing a 60º rhombus shaped defect with a transposition flap.11 It is a series of communicating equilateral triangles, with all angles meeting at 60º With the Limberg flap technique, which is increasingly being preferred at many surgical clinics, recurrence rate ranges between 0% and 5% and infection rate ranges between 1.2% and 4.8% (4, 6). Our results are compatible with those reported in literature (2, 4, 6). The reasons for recurrence generally include the region being humid and in deep. Comparison of Primary Midline Closure, Limberg Flap, and Karydakis Flap Techniques in Pilonidal Sinus Surgery Med Sci Monit. 2018 Dec 11;24:8959-8963. doi: 10.12659/MSM.913248. Authors Murathan. Limberg Flap technique is frequently used technique for this disease all over the world. However, Bascom Cleft Lift Technique is relatively newer technique. The purpose of this prospective randomized study is comparison of these techniques about patient satisfaction for postoperative period

Limberg Flap For Pilonidal Sinus - Pristyn Car

Patients were divided into two groups as follows: 37 patients were treated with the Limberg flap technique and 34 patients were treated with the Karydakis flap technique. Fluid collection, wound infection, flap edema, hematoma, partial wound separation, return to daily activities, pain score, complete healing time, painless seating and patient. The condition was probably first usefulness of Limberg Flap technique in treatment of described by Mayo in 1833, and it was felt to result pilonidal sinus in our setup. from the congenital disposition but with time the view shifted towards acquired theory.5 A widely MATERIAL AND METHODS acceptable view is that they are caused by local We. Background This study aimed to assess the relapse rates at the long-term follow-up of the Limberg flap repair (LFR) and primary closure (PC) methods in the surgical treatment of pilonidal sinus disease (PSD). Methods The records of primary PSDs who underwent LFR and PC due to PSD were retrospectively examined. The study included patients whose surgical intervention was performed at least two.

Akan K, Tihan D, Duman U, Özgün Y, Erol F, Polat M: Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study. Ulus Cerrahi Derg. 2013, 29:162-6. 10.5152/UCD.2013.245 The best surgical technique for pilonidal sinus disease (PSD) is still disputed. The objective of this prospective randomized study is to compare the short and long-term results of modified Limberg flap and Karydakis flap surgeries that have been widely used in recent years

Multicenter prospective randomized trial comparing

technique for a Limberg flap that does not require great exl: work. DESIGN OF TIlE LIMBERG The Limberg flap is desi closure of a 60° rhomboid which is an equilateral with angles of 60° and 120° (Fi flap outline is created by short diagonal in either dil the rhomboid by a distance. With the Limberg flap technique, internal flap cleft can be flattened and tissue can be approximated without tension. In this study, 46 patients with sacrococcygeal pilonidal disease were managed with rhomboid excision and Limberg flap reconstruction. Recurrence was noted in one patient (2.1). Akin et al [5] Modified Limberg flap is a commonly used procedure, however, studies which compared the outcomes of modified Limberg flap technique have reported different results. Diverse geometric rhomboid excisions in shape and size, and varied lateralization distance can lead to differences in healing time, complication and recurrence rates

Limberg Flap Procedure for Pilonidal Sinus - www

Limberg Flap Scrotal Reconstruction in Fournier's Gangrene

  1. The Limberg flap was then rotated (transposed) from the gluteal fascia to the area excised. Subcutaneous tissue was sutured using polyglactin 910 2/0 suture and skin by silk 3/0 suture (Figure 1). One or two suction drains were placed beneath the flap as the situation Figure 1: Steps of Limberg flap technique
  2. ts, multi-Limberg flap techniques can help the surgeon to cover moderate to large defects of the extremities, trunk, and back. In this study, a design of four neighboring local Limberg flaps to cover a moderate to large defect without using a skin graft is introduced. It is believed that this design is the geometric limit of multiple Limberg flaps that can entirely cover a single large rhombic.
  3. Conclusion: Both of modified Limberg flap and Z-plasty technique are used to cause flattening of the natal cleft, thus reducing local recurrence rates. So, we recommend use of flap technique for recurrent pilonidal sinus patients; modified Limberg transposition flap is better than Z plasty flap, because of the less hospital stay time, early.
  4. Nasza Dermatologia Online (2019-04-01) . Standardization of modified Limberg flap technique by using an acetate template for the treatment of pilonidal diseas

Limberg flap versus Karydakis flap for treating pilonidal sinus disease: a systematic review and meta-analysis Background: The Limberg flap reconstruction and the Karydakis flap reconstruction are the 2 most used off-midline closure techniques in pilonidal sinus surgery. The current evidence is inconclusive as to which is the optimal technique Limberg flap.6 Limberg procedure is a safe and reliable technique in the treatment of sacrococcygeal pilonidal sinus disease, with low complication and recurrence rates if performed according to appropriate surgical principles.1 In this prospective study, the experience with Limberg Flap technique in treatment of pilonidal sinus disease i

modified Limberg flap with Karydakis flap and concluded that modified Limberg technique have low complications and recurrence rate. Contrary to these results, study by Ates et al., (2011) showed Karydakis flap superior to Limberg flap. Walid and Kaled (2012) compared open excision with secondary healing versus modified Limberg flap and showed. Pit-picking technique was performed under local anesthesia on an outpatient basis in stage I and stage IIa patients. For stage IIb and stage III patients, the Bascom Cleft Lift /modified Bascom Cleft Lift techniques were performed. For stage IV patients, the rhomboid excision with the Limberg flap technique was used The Webster, or 30° flap, improves upon some of the limitations inherent to Limberg and Dufourmentel flaps. This technique combines a 30° rotation flap with an M-plasty at the defect base, thereby minimizing chances of creating a standing cone at the turning point of the flap and also reducing the tension associated with closure There are numerous procedures described to treat this condition. The most successful procedure with least recurrence is Limberg flap. This technique involves wide excision of the area and closing a 60 degree rhombus-shaped defect with a transposition flap The Limberg flap technique was modified by performing the rhomboid excision asymmetrically to place the lower end of the flap about 1-2 cm lateral to the intergluteal cleft. This modification was assumed to decrease the recurrence rate and maceration at the suture line

Impact of fibrin sealant on Limberg flap technique: results of a randomized controlled trial. Techniques in Coloproctology, 2007. Atilla Çelik. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper. READ PAPER Various techniques are being used in different hospitals in Pakistan. By conducting this study we will try to find out a superior technique for treatment of sacrococcygeal pilonidal sinus disease so that we can recommend its implementation. The objective of the study was to compare Karydakis technique with Limberg flap The Limberg flap technique was modified by performing the rhomboid excision asymmetrically to place the lower end of the flap about 1-2 cm lateral to the intergluteal cleft. They reported that the site of recurrence, which was located at the lower flap pole, stayed within the intergluteal sulcus and indicated that this site was the weakest.

Dufourmentel Flap

Out of 22 cases, wherein the neurosurgery department sought help from the plastic surgery department, 11 defects were closed using the Limberg flap technique, 4 defects were closed with either primary closure or the double flap rotation flaps, one defect was closed using the triple rotation flap and 2 defects were closed using the local transposition flap cover technique Objective: Several surgical techniques are being performed in the treatment of pilonidal sinus disease; however there is no single agreed technique that could be used in all patients. In this study we compared the results of the patients on which we implemented Karydakis Technique and Limberg flap procedure, the two most common techniques and tried to find the better operative modality Since the original description by Limberg, several modifications of the flap have been described, the most important of which was by Dufourmental. In the literature and at many soft-tissue courses, it has been taught that after rotation the maximum tension of the rhomboid flap is at the corner of the rhomboid most distant from the transposed flap Conclusion: Karydakis technique, in treatment of pilonidal sinus disease is better in terms of short duration of hospital stay and less work loss. Karydakis procedure should be the preferred method in treatment of sacrococcygeal pilonidal sinus. Keywords: Karydakis technique, Limberg flap, Pilonidal sinus, Sacrococcygeal Compared to the Limberg procedure, the recurrence rate (renewed fistula formation) and the frequency of wound healing disorders are approximately the same. The cleft-lift procedure according to Bascom leads to approximately the same results as the Karydakis technique but tends to show a higher rate of wound healing disorders

Reconstructive Surgery of the Medial Zygomatic Region of

techniques like marsupialization. Conclusion Marsupialization is the treatment of choice for recurrent flap and primary suturing cases used for pilonidal sinus. References 1. Topgül K, Ozdemir E, Kiliç K, Gökbayir H, Ferahköşe Z. Long-term results of limberg flap procedure for treatment of pilonidal sinus: a report of 200 cases A single Limberg flap is used frequently on the face while for closure of small to medium defects; multiple Limberg flap techniques can help the surgeon cover moderate to large defects of the extremities, trunk and back [8]. This versatile skin flap combines the principles of rotation and advancement

Numerous surgical techniques are employed for postnatal sacrococcygeal PNS. The exact procedure is determined by nature of disease presentation and the surgeons choice. In our study, we wanted to compare two operative procedures (modified Limberg flap [MLF] vs. Z-plasty flap [ZPF]) in the management of PNS, regarding their 1.Complications 2 OBJECTIVE: Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus. MATERIALS AND METHODS: This prospective and randomized study enrolled 71 patients with. In 1946, Limberg first described a technique for closing a 60° rhombus-shaped defect with a transposition flap. It meets the entire requirement for being the ideal procedure for sacrococcygeal pilonidal sinus if performed according to appropriate surgical principles Yildiz, T., Ilce, Z. and Kücük, A. (2014) Modified Limberg Flap Technique in the Treatment of Pilonidal Sinus Disease in Teenagers. Journal of Pediatric Surgery, 49, 1610-1613 Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. the Bascom cleft lift procedure is a reliable technique that provides shorter operation duration and better quality of life during the early postoperative period. Major Subject Heading(s

However, standardization of the modified Limberg flap technique can help to compare the end results of this surgical intervention more accurately. Thus, we have developed an acetate template to draw a sketch map of rhomboid excision and modified Limberg flap preoperatively, in order to standardize the modified Limberg flap procedure Flap techniques including the Limberg flap have become more popular in recent years. A modified Limberg flap was used to reduce the problems of skin maceration and recurrence associated with the conventional Limberg flap technique. The aim of this retrospective study was to assess the effectiveness of the modified Limberg flap technique for PSD Guner, A. et al. Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J. Surg. 37 , 2074-2080 (2013). PubMed Google Schola Okuş A, Sevinç B, Karahan O, et al. Comparison of Limberg flap and tension-free primary closure during pilonidal sinus surgery. World J Surg. 2012;36:431-435. Akan K, Tihan D, Duman U, et al. Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study BACKGROUND: To compare classical Limberg flap (CLF) and modified Limberg flap (MLF) techniques in pilonidal sinus surgery among adult patients. METHODS: A total of 236 patients who underwent pilonidal surgery with use of CLF (N.=119, mean(SD) age: 29.1(8.1) years, 92.4% were males) or MLF (N.=117, mean(SD) age: 28.7(8.0) years, 89.7% were males.

Rhomboid excision with modified Limberg flap in the

  1. In this study, the short and long-term results of patients treated with the Limberg flap (LF) technique are reported, and the results of those discharged 24 hours postoperatively are discussed in light of data in the literature. Materials and Methods
  2. MATERIAL AND METHODS. Patients with a diagnosis of pilonidal sinus disease treated with surgical excision + Limberg rhomboid flap technique and crystallized phenol method between 2010-2011 in the Şevket Yılmaz Training and Research Hospital, Department of General Surgery were evaluated retrospectively
  3. The aim of this study was to compare the surgical outcome of fasciocutaneous V-Y advancement flap and limberg transposition flap used to treat recurrent sacrococcygeal PSD. A total of 58 patients with recurrent pilonidal sinus who underwent surgery were evaluated retrospectively between January 2008 to December 2013. Fasciocutaneous V-Y advancement flap was performed in 25 patients (Group.

14 Jan 2020. Limberg flap technique associated with reduced recurrence and similar complication rate, but less satisfaction with wound cosmesis at 1 year compared to excision with primary midline closure in adults with sacrococcygeal pilonidal sinus disease (Ann R Coll Surg Engl 2019 Jan This case series presents clinical outcome of one surgical procedure-rhomboid excision with modified Limberg flap, practiced at our hospital. In our hospital 35 patients with newly diagnosed pilonidal sinus and recurrent pilonidal sinuses were treated with rhomboid excision and modified Limberg flap during a period of two year, i.e., from June. OUTCOME OF THE LIMBERG'S FLAP TECHNIQUE IN THE TREATMENT OF PILONIDAL SINUS Naveed Akhtar,1 Shafiq Ullah,2 Muhammad Sabir2 ABSTRACT Background: Pilonidal sinus disease is a common condition often seen in young adults, affecting male twice then the female. Many surgical and non- surgical treatment modalities have been suggested Call for Papers - International Journal of Science and Research (IJSR) is a Fully Refereed - Peer Reviewed International Journal. Notably, it is a Referred, Highly Indexed, Online International Journal with High Impact Factor

Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease Fatih Altintoprak, 1 Enis Dikicier, 2 Yusuf Arslan, 2 Taner Ozkececi, 3 Gokhan Akbulut, 1, 3 and Osman Nuri Dilek 1 1 Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey.: 2 Department of General Surgery, Sakarya University Research and Educational Hospital. The technique was first used in 1986 in a patient with a pilonidal fistula. In Limberg plastic surgery, the fistula system is cut out in the shape of a rhomboid and the defect is covered with an adjacent tissue flap, which is also mobilized in the shape of a rhomboid, thus closing the wound. As with the Karydakis and cleft-lift procedures, the. The Limberg flap has been used to repair defects of the cheek, temple, eyelids, nose, lip, chin, and neck (Fig. 11-4). 9 The horizontal parallel furrows of the forehead make this region of the face particularly unsuitable for use of rhombic flaps. Disadvantages of the Limberg flap include the formation of a standing cutaneous deformity and the need to discard normal skin to convert the defect.

Earlobe reconstruction using a Limberg flap in six ears

Rhomboid Flap - Indications, Design, Example

Key Wordsrotation flap, transposition flap, advancement flap, bilobed flap, Z-plasty, Limberg flap Synopsis Local skin flaps are time-honored methods of soft tissue reconstruction and frequently represent the ideal mode of reconstruction because they permit defect coverage with skin of similar color, thickness, and texture. Successful reconstruction using local skin flaps, however, requires a. limberg flap - healing time. Thread starter vicky bond; Start date Mar 10, 2013; V. vicky bond New Member. Mar 10, 2013 #1 hi guys , my partner is having the limberg flap on the 22nd of march . we had a meeting with a nurse to answer questions but there were a few things i didnt get answers for sacrococcygeal pilonidal sinus, flap reconstruction techniques eradicate the etiology of the disease by flattening the inter gluteal sulcus with much less hairy fascio-cutaneous flaps and less perspiration.12 Among them, the most commonly used is the rhomboid exci-sion with the Limberg flap. With this technique o Limberg flap (Fig. 2). Excision and Adipo-Fasciocutaneous Flap The lateral advancement adipo-fasciocutaneous flap was a rectangular flap containing adipose tissue with its under-lying fascia and overlying skin, and differs from the adipo-fascial turnover flap described by Onishi and Maruyama.13 A rectangular excision was used to includ Modified Limberg technique. As in Limberg flap technique, a rhomboid incision was made. Upper and lower corners of the excision were lateralized 2 cm away from the midline in order to keep the suturing line at the inferior from overlapping the midline. An excision was made down to the presacral fascia

Geometric limit of multiple local Limberg flaps: a flap

Long‐term follow‐up of 62 patients with complicated pilonidal disease was analysed (36 operated on using the Limberg flap technique and 26 using the EPSiT method). The median follow‐up was 27 months (12-44). Results. The median operating time in the EPSiT group was 60 min (25-80 min) and in the Limberg group 67 min (35-95 min) flap procedure and the cleft lift procedure described by Bascom[5,6]. Among full-thickness flaps, the Limberg flap, fascio-cutaneous VY advancement flap, Z-plasty, and rotation flaps are used in the treatment of PNS[4,7]. The cleft lift procedure described by Bascom is a successful method for the treatment of recurrent as well as new cases of PNS As a result, this rhomboid flap is also described as the Limberg flap. The original Russian monograph, Mathematical principles of local plastic procedures on the surface of the human body , was subsequently published in 1966 in English as a Design of local flaps chapter for a plastic surgery textbook After pilonidal sinus excision, primary repair and Limberg flap were performed in 45 (75%) and 15 (25%) patients respectively. There were no complications in the patients who underwent the Limberg flap technique, whereas 49% of the patients who underwent primary repair exhibited complications. The mean follow‐up was 6.7 ± 4.8 years. Conclusio

Single Stage Reconstruction of Type IIA Defect of the Ear

Background: The Limberg flap reconstruction and the Karydakis flap reconstruction are the 2 most used off-midline closure techniques in pilonidal sinus surgery. The current evidence is inconclusive as to which is the optimal technique technique that uses traditional post-pilonidal sinus excision Primary Repair (PR) method with closure technique that uses flap-based surgical methods such as Z-plasty (ZP) and Limberg flap (LF) in terms of their role in ensuring healing and their complication and recurrence rates Karydakis flap; Limberg technique; Recurrent pilonidal sinus. INTRODUCTION. Pilonidal sinus (PS) is a common disease of the natal cleft in the sacrococcygeal region with weak hair accumulation occurring in the hair follicles, which can be chronic and undergo acute exacerbation 1. Petersen S, Aumann, Kramer A, Doll D, Sailer M, Hellmich G. Short. Introduction . Pilonidal sinus is a chronic intermittent disease that usually involves the sacrococcygeal area and commonly affects young and middle-aged male patients. 1 There are several techniques described for the treatment of this disease and Limberg flap is one of the most preferred techniques because of its low complication rate and acceptable long-term results. 2 There are. Conclusion: Finally we concluded that all cases where closure is possible should be treated with different closure techniques (simple closure, z-plasty, limberg flap). Deep gluteal cleft is flattened with z-plasty and limberg flap technique. Hence the suction effect is obliterated. All predisposing factors are countered by flap technique hence flap techniques are ideal for treatment for.

Abstract : Objective: Several surgical techniques are being performed in the treatment of pilonidal sinus disease; however there is no single agreed technique that could be used in all patients. In this study we compared the results of the patients on which we implemented Karydakis Technique and Limberg flap procedure, the two most common techniques and tried to find the better operative modality plastic repair, the Limberg flap technique. 2.6.1 Surgical treatment: Limberg flap technique This technique was described in 1946 by the Russian sur-geon Alexander Limberg, and in 1966 was published in English. The author reported the resection of a dermocu-taneous lesion through a rhomboidal incision and the re

Impact of fibrin sealant on Limberg flap technique

Limberg flap Reconstruction following rhomboid excision of the sacrococcygeal Pilonidal sinus. INTRODUCTION Pilonidal sinus is a common disease of the young adults. Most frequently seen in the sacrococcygeal region. Estimated incidence is 26 per 1, 00,000 people Figure 6.1 Rhomboid flap Limberg and his followers (including us) use a bit of 'surgical license' when referring to the 'rhomboid' shape. Because, mathematically speaking, a parallelogram with sides of equal length (equilateral) is a rhombus but not a rhomboid (the latter does not have equal sides). A rhombus has equal sides and 60° an

Citation: Zulfiqar Ahmed , Comparison of karydakis technique with limberg flap procedure for sacrococcygeal pilonidal sinus disease in terms of hospital stay and work loss, Pak. Armed Forces Med. J. 2017; 67 (1): 141-144 . Abstract English Objective: To compare Karydakis technique with Limberg flap procedure for sacrococcygeal pilonidal sinus. Comparison of Karydakis Technique with Limberg Flap Procedure in Pilonidal Sinus Disease: Advantages of Karydakis Technique (Clinical Report‪)‬ Pakistan Journal of Medical Sciences 2010, Dec 31, 26, W-plasty, Limberg flap, rotation flap, gluteus maximus musculo-cutaneous flap, sacral adipo-fascial turnover flap, V- -Y fascio-cutaneous advancement flap and skin flap of the cleft lift procedure [2] [3] [9] [11] [12]. The aim of the present study is to compare the modified Limberg flap versus the Z plasty flap technique in the treatment of.

The flap angle (beta) may equal to defect angle (alpha) or decreased if necessary, allowing further flexibility. Advocates claim superiority over the Limberg flap in terms of improved blood supply and ease of donor site closure through the use of a wider pedicle width and more flexible design Comparison of Primary Repair and Limberg Flap Methods in Surgical Treatment of Sacrococcygeal Pilonidal Sinus: A Retrospective Clinical Study. Sami Bilici 1 , Nurten Arslan Işık 2 . Author Affiliation(s) 1. Nevşehir Devlet Hastanesi, Genel Cerrahi Kliniği, Nevşehir, Türkiye.

The Karydakis flap, Bascom flap, and V-Y flap are classified as advancing flaps. 28-30 Rotation flaps included the Limberg flap, modified Limberg flap, Dufourmentel flap, Z-plasty, and gluteus maximus fasciocutaneous flap. 31-34 Outcomes of randomized studies for these techniques are presented in Table 1. Different endpoints have been used. The Limberg flap technique, first described for the surgical treatment of SPS by Azab et al. , is currently one of the most widely used techniques. Topgül et al. [ 15 ], Kapan et al. [ 16 ], and Akin et al. [ 17 ] reported long-term recurrence and early total complication rates in cases treated with Limberg flaps of 2.5% and 6% in 200 patients.

The use of local flap accelerates healing. The rhomboid flap of Limberg is a transposition flap that has been advocated for treatment of this condition. In 1946, Limberg first described a technique for closing a 60º rhombus shaped defect with a transposition flap. It is a series of communicating equilateral triangles, with all angles meeting. standard Limberg flap technique. In the fibrin seal-ant group, patients were treated with standard Limberg flap technique plus fibrin sealant applica-tion. Skin sutures were removed on the tenth postoperative day. The duration of operation, postoperative pain, time to first mobilization, length of hospital stay, dura

Bilobed Flap - Facial Plastic Surgery - European Medical

Pilonidal Cystectomy Technique: Approach Considerations

Read Limberg Flap Versus Bascom Cleft Lift Techniques for Sacrococcygeal Pilonidal Sinus: Prospective, Randomized Trial, World Journal of Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips In order to avoid median recurrences and flatten the natal cleft, numerous operative techniques have been developed such as the Karydakis technique; the Bascom procedure; rhomboid excision with Limberg flap closure; Z-plasty or rotation flap [2, 12-14]. The standard rhomboid flap application seems to be the most effective technique with the. Since most of these recurrences occur in the midline, a modification of the Limberg flap technique has been used by several authors (39, 40). According to the latter technique, the wound and all suture holes are taken away from the midline, and the lower pole of the incision is placed on the contralateral side of the elevated flap Faux W, Pillai SC, Gold DM. Limberg flap for pilonidal disease: the no-protractor approach, 3 steps to success. Tech Coloproctol 2005; 9:153. Bessa SS. Comparison of short-term results between the modified Karydakis flap and the modified Limberg flap in the management of pilonidal sinus disease: a randomized controlled study

Limberg Flap Versus Bascom Cleft Lift Techniques for

(ACAM) Annals of Clinical and Analytical Medicine; inquiry . inquiry form The use of fibrin glue in surgical treatment of pilonidal sinus disease:a prospective study in the limberg flap procedure; The use of fibrin glue in surgical treatment of pilonidal sinus disease:a prospective study in the limberg flap procedure. Authors . Sozen Selim Topuz, Omer Keceli, Mustafa Tukenmez, Mustaf BACKGROUND: Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. Aim of this study was to compare the short term results of modified limberg flap (MLF) and modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of postoperative complications, recurrence and patient satisfaction

Comparison of limberg flap and oval flap techniques in sacrococcygeal pilonidal sinus disease surgery The Porthcawl News, dating to August 1, reported that Winifred Richards of Sunny Cottage, New Road, had received news her husband, private Ewart Richards, a signaller with the 1/6th Battalion, Durham Light Infantry, was a prisoner of war at. The aim of this study was to compare the outcomes of the Cleft-lift (CL) versus Limberg flap (LF) techniques. METHODS: Between 2007 and 2009, a total of 131 patients with sacrococcygeal pilonidal disease were randomized into two study groups regarding the operative technique of CL [Group-1 (G1)] and LF [Group-2 (G2)] A staging system was defined based on morphological extent of disease (stage I to stage IV for primary disease, and stage R for recurrent disease). Specific surgical technique was used for each stage. Demographics, perioperative data, short-term and long-term outcomes were evaluated according to the disease stage.. Clinical Trials Registry. ICH GCP

Local hand flaps - Journal of the American Society forThe rhomboid flap for pilonidal sinus | DownloadReverse sural flap for posterior heel ulcer: A full thiBilateral fasciocutaneous V-Y flap