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All Journal Indian Journal of Forensic Medicine & Toxicology International Journal of Health and Medicine
Mohamad Theyab Hamad
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Health Professions Medicine & Pharmacology Public Health

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The Outcome of Limberg Flap Procedure in the Management of Primary Chronic Sacrococcygeal Pilonidal Sinus Disease Bashar Akram Al-Bayati; Salah Salih Mohammed; Mohamad Theyab Hamad
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17947

Abstract

Introduction: Sacrococcygeal pilonidal sinus (PNS) is a common chronic benign disease of young agegroup, associated with morbidity, often with a prolong loss of normal activity. Still there is ongoingdebate regarding the best treatment option as all the methods have complications, although; the currentevidence supports the use of off- midline techniques because of lower recurrence rates and avoidanceof all disadvantages of open treatment.This study was done to determine the postoperative outcomeof rhomboid excision and Limberg flap reconstruction as a main procedure in the treatment of PNSdisease in our institute.Patients and Method: A prospective study conducted at the Department of General Surgery- BaqubaTeaching Hospital- Diyala- Iraq, from January 2017 to June 2019, in which 98 patients (78 male and20 female) with chronic primary sacrococcygeal PNS were enrolled. The age of the patients rangedbetween 16 – 38 years. Patients with acute abscess were first treated by incision and drainage beforedefinite surgery. Patients were operated by rhomboid excision and Limberg flap reconstruction.Results: In this study, 98 patients were enrolled, 78 male (79.59 %) and 20 female (20.4%) with maleto female ratio of 3.9:1. The age of the patients ranged between 16 to 38 years with the mean age of25 years. During the follow up period; 6 patients (6.12%) developed seroma, 4 patients (4.08%) hadinfection and 4 patients (4.08%) had recurrent sinus after few months and one patient (1.02%) hadwound disruption.Conclusion: Rhomboid excision and Limberg flap reconstruction of PNS diseaseis safe and reliabletechnique with low complication and recurrence rates if performed according to appropriate surgicalprinciples.
Predictive Risk Factors for Development of Recurrent Inguinal Hernia in Children Mohamad Theyab Hamad; Mohammed Atyah Farhan; Hussein Alwan Khalaf
International Journal of Health and Medicine Vol. 2 No. 2 (2025): April : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i2.389

Abstract

Background: Hernia is a common surgical problem in children. Usually it requires surgical intervention and one complication of hernial surgery is recurrence of the hernia. Aim of study: To identify the predictive risk factors for recurrence of the hernia and make efforts to avoid the recurrence. Patient and methods: This is a prospective study conducted in Baquba teaching hospital for the period from the 1st of Jan. 2020 to the thirty of June 2024, included (188) cases. Open Herniotomy done for all of them. 163 patients (86.7%) were male and 25 patients (13.2%) female. 104 (55.3%) cases in right side and 82 case (43.6%) in left side and only (2) patients (1.06%) have bilateral inguinal hernia. Result: The age of the patient range from one month up to (14) years. Mean age was (3.12) years. Follow up period for one year for all patients to detect the recurrence. 7 patients (3.7%) develop recurrent hernia. 3 patients less than one year, 3 patients from 6-10 years and one patient is more than 11 years. 18 (9.57%) have thin sac and 3 (16.6%)of them develop hernia while those with normal wall thickness only one patient (0.58%) develop hernia. 15 patients (7.79%) have wide neck sac more than 1.5cm 2 (13.3%)of them develop hernia and only one patient (0.57%) with narrow sac neck less than 1.5cm develop hernia. Conclusion: Thin wall hernia sac and wide neck hernia sac more than 1.5cm are more predictive risk factors for developing recurrent inguinal hernia in children.
Co-Authors Bashar Akram Al-Bayati Hussein Alwan Khalaf Mohammed Atyah Farhan Salah Salih Mohammed