Limberg flap in management of pilonidal sinus disease: systematic review and a local experience

References

• Ates M, Dirican A, Sarac M, et al. Short and long-term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease: a prospective randomized study. Am J Surg. 2011;202:568–573.
   PubMed Web of Science ®Google Scholar
• Yildiz T, Ilce Z, Kücük A. Modified Limberg flap technique in the treatment of pilonidal sinus disease in teenagers. J Pediatric Surg. 2014;49:1610–1613.
   PubMed Web of Science ®Google Scholar
• Wolfe SA. Alexander A. Limberg M.D. 1894–1974. Plast Reconstruct Surg. 1975;56:239–240.
   PubMed Web of Science ®Google Scholar
• Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery. 1980;87:567–572.
   Google Scholar
• Kanat BH, Selim S. Disease that should be remembered: sacrococcygeal pilonidal sinus disease and short history. World J Clin Cases. 2015;3:876–879.
   PubMed Web of Science ®Google Scholar
• Mentes BB, Leventoglu S, Cihan A, et al. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus. Surg Today. 2004;34:419–423.
   PubMed Web of Science ®Google Scholar
• Al-Khamis A, McCallum I, King PM, et al. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010;CD006213.
   PubMed Web of Science ®Google Scholar
• Afşarlar CE, Yılmaz E, Karaman A, et al. Treatment of adolescent pilonidal disease with a new modification to the Limberg flap: symmetrically rotated rhomboid excision and lateralization of the Limberg flap technique. J Pediatr Surg. 2013;48:1744–1749.
   PubMed Web of Science ®Google Scholar
• Madbouly KM. Day-case Limberg flap for recurrent pilonidal sinus: does obesity complicate the issue? Am Surg. 2010;76:995–999.
   PubMed Web of Science ®Google Scholar
• Darwish AM, Hassanin A. Reconstruction following excision of sacrococcygeal pilonidal sinus with a perforator-based fasciocutaneous Limberg flap. J Plast Reconstr Aesthet Surg. 2010;63:1176–1180.
   PubMed Web of Science ®Google Scholar
• Misiakos EP, Troupis T, Hatzikokolis S, et al. KaratzasGLimberg flap reconstruction for the treatment of pilonidal sinus disease. Chirurgia (Bucur). 2006;101:513–517.
   PubMedGoogle Scholar
• Bozkurt MK, Tezel E. Management of pilonidal sinus with the Limberg flap. Dis Colon Rectum. 1998;41:775–777.
   PubMed Web of Science ®Google Scholar
• Aithal SK, Rajan CS, Reddy N. Limberg flap for sacrococcygeal pilonidal sinus a safe and sound procedure. Indian J Surg. 2013;75:298–301.
   PubMed Web of Science ®Google Scholar
• Bracey D. Pilonidal sinus: experience with the Limberg flap. Colorectal Dis. 2000;2:181.
   PubMedGoogle Scholar
• Milito G, Gargiani M, Gallinela MM, et al. Modified Limberg's transposition flap for pilonidal sinus. Long term follow up of 216 cases. Ann Ital Chir. 2007;78:227–231.
   PubMed Web of Science ®Google Scholar
• Yildiz T, Ilce Z, Kücük A. Modified Limberg flap technique in the treatment of pilonidal sinus disease in teenagers. J Pediatr Surg. 2014;49:1610–1613.
   PubMed Web of Science ®Google Scholar
• Dass TA, Zaz M, Rather A, et al. Elliptical excision with midline primary closure versus rhomboid excision with Limberg flap reconstruction in sacrococcygeal pilonidal disease: a prospective, randomized study. Indian J Surg. 2012;74:305–308.
   PubMed Web of Science ®Google Scholar
• Shabbir F, Ayyaz M, Farooka MW, et al. Modified Limberg’s flap versus primary closure for treatment of pilonidal sinus disease: a comparative study. J Pak Med Assoc. 2014;64:1270–1273.
   PubMed Web of Science ®Google Scholar
• Cihan A, Mentes BB, Tatlicioglu E, et al. Modified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery. ANZ J Surg. 2004;74:238–242.
   PubMed Web of Science ®Google Scholar
• Duman K, Ozdemir Y, Yucel E, et al. Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus. Clinics (Sao Paulo). 2014;69:384–387.
   PubMed Web of Science ®Google Scholar
• Ertan T, Koc M, Gocmen E, et al. Does technique alter quality of life after pilonidal sinus surgery? Am J Surg. 2005;190:388–392.
   PubMed Web of Science ®Google Scholar
• 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.
   PubMed Web of Science ®Google Scholar
• Tavassoli A, Noorshafiee S, Nazarzadeh R. Comparison of excision with primary repair versus Limberg flap. Int J Surg. 2011;9:343–346.
   PubMed Web of Science ®Google Scholar
• Muzi MG, Milito G, Cadeddu F, et al. Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease. Am J Surg 2010;200:9–14.
   PubMed Web of Science ®Google Scholar
• Karaca AS, Ali R, Capar M, et al. Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, in terms of quality of life and complications. J Korean Surg Soc. 2013;85:236–239.
   PubMedGoogle Scholar
• Onder A, Girgin S, Kapan M, et al. Pilonidal sinus disease: risk factors for postoperative complications and recurrence. Int Surg. 2012;97:224–229.
   PubMed Web of Science ®Google Scholar
• Can MF, Sevinc MM, Hancerliogullari O, et al. Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease. Am J Surg. 2010;200:318–327.
   PubMed Web of Science ®Google Scholar
• Arslan K, Said Kokcam S, Koksal H, et al. Which flap method should be preferred for the treatment of pilonidal sinus? A prospective randomized study. Tech Coloproctol. 2014;18:29–37.
   PubMed Web of Science ®Google Scholar
• Horwood J, Hanratty D, Chandran P, et al. Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials. Colorectal Dis. 2012;14:143–151.
   PubMed Web of Science ®Google Scholar
• Enriquez-Navascues JM, Emparanza JI, Alkorta M, et al. Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus. Tech Coloproctol. 2014;18:863–872.
   PubMed Web of Science ®Google Scholar
• Müller K, Marti L, Tarantino I, et al. Prospective analysis of cosmesis, morbidity, and patient satisfaction following Limberg flap for the treatment of sacrococcygeal pilonidal sinus. Dis Colon Rectum. 2011;54:487–494.
   PubMed Web of Science ®Google Scholar
• Eryilmaz R, Sahin M, Alimoglu O, et al. Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap. Surgery 2003;134:745–749.
   PubMed Web of Science ®Google Scholar
• Das K, Uzun AS, Bozkurt H, et al. Diathermy versus scalpel in Limberg flap in pilonidal sinus surgery. A prospective randomized trial. Ann Ital Chir. 2014;85:148–152.
   PubMed Web of Science ®Google Scholar
• Altinli E, Koksal N, Onur E, et al. Impact of fibrin sealant on Limberg flap technique: results of a randomized controlled trial. Tech Coloproctol. 2007;11:22–25.
   PubMedGoogle Scholar
• Kirkil C, Böyük A, Bülbüller N, et al. The effects of drainage on the rates of early wound complications and recurrences after Limberg flap reconstruction in patients with pilonidal disease. Tech Coloproctol. 2011;15:425–429.
   PubMed Web of Science ®Google Scholar
• Erdem E, Sungurtekin U. NeşşarM Are postoperative drains necessary with the Limberg flap for treatment of pilonidal sinus? Dis Colon Rectum. 1998;41:1427–1431.
   PubMed Web of Science ®Google Scholar
• Colak T, Turkmenoglu O, Dag A, et al. A randomized clinical study evaluating the need for drainage after Limberg flap for pilonidal sinus. J Surg Res. 2010;158:127–131.
   PubMed Web of Science ®Google Scholar
• Akin M, Leventoglu S, Mentes BB, et al. Comparison of the classic Limberg flap and modified Limberg flap in the treatment of pilonidal sinus disease: a retrospective analysis of 416 patients. Surg Today 2010;40:757–762.
   PubMed Web of Science ®Google Scholar
• Cihan A, Ucan BH, Comert M, et al. Superiority of asymmetric modified Limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum. 2006;49:244–249.
   PubMed Web of Science ®Google Scholar
• Karakaş BR, Aslaner A, Gündüz UR, et al. Is the lateralization distance important in terms in patients undergoing the modified Limberg flap procedure for treatment of pilonidal sinus? Tech Coloproctol. 2015;19:309–316.
   PubMed Web of Science ®Google Scholar
• Hosseini SV, Rezazadehkermani M, Roshanravan R, et al. Pilonidal disease: review of recent literature. Ann Colorectal Res. 2014;2:e19705.
   Google Scholar