Abstract

Standardization of modified Limberg flap technique by using an acetate template for the treatment of pilonidal disease

Highlights

  • Pilonidal disease is a common condition among young adults

  • Rhomboid flaps with four different sizes were drawn (Fig. 2)

  • Recurrence can be observed in the excision site at the lower midline apex of the rhomboid flap following the classic Limberg flap

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Summary

Introduction

Pilonidal disease is a common condition among young adults. The exact cause remains controversial. Obstruction of hair follicles in the natal cleft has been implicated in the etiology of pilonidal disease It is more common in men than in women. Standardization of the modified Limberg flap technique can help to compare the end results of the surgical intervention more accurately. The borders of the rhomboid excision and the Limberg/modified Limberg flap were defined with the acetate template and drawn on the gluteal region by using a water resistant multi-purpose pen. The size of modified Limberg flap was standardized by the help of the acetate template. Conclusions: We suggest that using a standardized template while performing a modified Limberg flap procedure for the treatment of pilonidal disease may help to evaluate and compare the outcomes of this surgical procedure more accurately

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