Modified Limberg plasty in treatment of epithelial coccygeal passage

Abstract

UNLABELLED: The aim was analysis of results of Limberg skin-plastic closure of wound defect after excision of extensive fistulous forms of coccygeal passage with some modifications. MATERIALS AND METHODS: 41 patients with fistulous form of epithelial coccygeal passage degree III were enrolled into investigation. Mean age was 35.6±6.4 years. The modification consisted of asymmetric displacement of the lowermost part of excised diamond-shaped defect laterally from the median line and fixation of flap to inter-gluteal fold bottom especially its caudal part. RESULTS: Noncomplicated course of early postoperative period with wound healing by first intention was observed in 38 (92.7%) patients. Recurrent coccygeal passage developed in 1 (2.4%) patient and it was limited (fistulous passage in one of the wound edges).