PDF(Pubmed)
Abstract：
Introduction Among young male adults, sacrococcygeal pilonidal sinus disease (SPSD) is a prevalent condition. There are several possibilities for treatment, including both conservative and surgical methods. Medical supervision or conservative management is not the cutting-edge and preferred management nowadays. Although not fatal, it negatively impacts young people\'s quality of life in terms of schooling and means of subsistence and is socially awkward. Method About 10 individuals in this case series have serous drainage from the sinus in the sacral region, which is a common symptom. The patients were entitled to a full recovery from their illness. In all these patients, the Limberg flap procedure was recommended, and just one patient out of 10 had a minimal infection. Every patient was satisfied with how the surgery turned out. Overall, the Limberg flap (rhomboid flap) approach is becoming the norm for care since it has a lower rate of recurrence, fewer postoperative problems, and a shorter learning curve. Result Flap necrosis instances were absent in all the cases. And out of 10 cases, one patient came with a surgical site infection during the follow-up, suggesting a complication rate of 10%. Conclusion For the treatment of primary pilonidal illness, rhomboid excision utilising the Limberg transpositional fasciocutaneous flap technique is seen as a safer option that encompasses numerous sinuses. It requires less time in the hospital and has fewer postoperative problems.
摘要：
简介在年轻的男性成年人中，骶尾部藏毛窦病（SPSD）是一种常见病。有几种治疗的可能性，包括保守和手术方法。医疗监督或保守管理不是当今的前沿和首选管理。虽然不是致命的,它在教育和谋生手段方面对年轻人的生活质量产生了负面影响，并且在社会上很尴尬。方法本组病例约有10例患者在骶骨区出现鼻窦浆液性引流,这是一个常见的症状。患者有权从疾病中完全康复。在所有这些患者中，推荐使用Limberg襟翼手术,只有十分之一的病人有轻微的感染。每个患者都对手术结果感到满意。总的来说,Limberg皮瓣（菱形皮瓣）方法正在成为治疗的规范，因为它具有较低的复发率，更少的术后问题，和更短的学习曲线。结果所有病例均未见皮瓣坏死。在10个案例中，一名患者在随访期间出现手术部位感染，提示并发症发生率为10%。结论对于原发性藏毛病的治疗,使用Limberg换位筋膜皮瓣技术进行菱形切除术被认为是一种更安全的选择，包括许多鼻窦。它需要更少的时间在医院和具有更少的术后问题。
