FLAP CAPILLARY BLOOD GLUCOSE MONITORING AS A PREDICTOR OF FLAP SURVIVAL IN LIMBERG FLAP FOR PILONIDAL SINUS SURGERY.

Abstract

Background: Pilonidal sinus is treated with wide local excision and primary closure, which carries high recurrence, post-operative morbidity and cosmetic implications. In order to overcome that limberg transposition ap is done. Postoperative ap survival is crucial for proper healing. Hence there is a need for a tool to predict ap survival as earliest. Flap capillary blood glucose monitoring is such a tool which is, done as a clinical basic procedure, with no harm to patient or the ap. To prospectively validate ap Methods: capillary blood glucose monitoring serially, as an indicator to predict ap survival in limberg ap in pilonidal sinus surgery patients at Government medical college & ESI hospital-general surgery department. Conducted as a prospective cohort study among 30 patients who underwent wide local excision and limberg ap for pilonidal sinus in the Department of General Surgery, Government Medical College & ESI Hospital between June- 2021 to November- 2021. Estimated capillary blood glucose at the edge of ap 3mm away from incision site, using glucometer at 0, 6, 24- hours following surgery. Of the 30 patients who underwent limberg ap surge Results: ry, 1 patient developed postoperative ap necrosis due to venous thrombosis. 1 patient developed ap infection which was treated with appropriate antibiotics after culture and sensitivity and the ap survived. Rest of the 28 patients had healthy aps and uneventful postoperative period. Of the 30 patients who underwent limberg ap for pilonidal sinus 29 patients in whom the ap survived had ap glucose level more than 62mg/dl, in the rst 24 hours. Conclusion: Monitoring ap capillary blood glucose serially in postoperative period in order to identify the aps in risk, to start early goal directed therapy to improve ap survival and the patients can benet. This simple and cheap technique can be used for routine monitoring of Limberg aps along with the routine clinical evaluation.