American journal of surgery
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Randomized Controlled Trial Comparative Study
Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease.
The best surgical technique for sacrococcygeal pilonidal disease is still controversial. The aim of this randomized prospective trial was to compare both the results of Limberg flap procedure and primary closure. ⋯ Our results do not show a clear benefit for surgical management by Limberg flap or primary closure. Limberg flap showed less convalescence and wound infection; our technique of tension-free primary closure was a day case procedure, less painful, and shorter than Limberg flap.
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Surgical safety and quality initiatives have now moved to the front of the agenda for contemporary surgery. ⋯ Surgeon-initiated efforts have led to marked improvements in multiple specialties and in many small and large hospitals and academic training centers.