The use of fibrin glue in surgical treatment of pilonidal sinus disease: A prospective study in the limberg flap procedure

Abstract

Objective: Different surgical techniques for pilonidal disease have been described in the literature. Limberg flap has low morbidity and recurrence rates. Fibrin sealant, a two-component tissue adhesive composed of fibrinogen and thrombin, has been used in a number of surgical procedures to achieve hemostasis and to seal tissues. The purpose of this study was to investigate the effect of fibrin sealant on the Limberg flap procedure.
Methodology: 132 male patients with pilonidal sinus who underwent Limberg flap operation were evaluated prospectively. The patients were assigned randomly into two groups (group 1; with suction drain, group 2; fibrin glue).
Results: Seroma was encountered in 5 of 132 patients (3.78%); Flap oedema occurred 4(6.06%) patients in group 1. Wound infection occurred in one patient (1.5%) in group 1. Most patients in group 2 were mobilized on the first postoperative day, and the median time to first mobilization was earlier in group 2 than in group 1 (1 (1