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W\u00e4hrend sich beim chronischen Sinus pilonidalis ein einzeitiges Vorgehen als Exzision oder plastische Rekonstruktion nach Limberg oder Karydakis anbietet, ist die empfohlene Vorgehensweise beim akuten Pilonidalabszess zweizeitig. Ziel dieser Studie war es, die Ergebnisse der einzeitigen Operation mit Limberg-Plastik bei akutem Pilonidalabszess und chronischem Sinus pilonidalis bezogen auf Rezidive, Wundheilungsst\u00f6rungen, station\u00e4rer Liegedauer sowie Patientenzufriedenheit zu vergleichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Von 2009 bis 2014 wurden 39\u00a0Patienten in die prospektive Beobachtungsstudie eingeschlossen. 21\u00a0Patienten mit akutem Pilonidalabszess, 18\u00a0mit chronischem Sinus pilonidalis. Alle Patienten wurden einzeitig mittels Limberg-Rautenplastik operativ behandelt. Die Gruppen wurden in Bezug auf postoperative Komplikationsrate und Rezidivh\u00e4ufigkeit miteinander verglichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Beide Gruppen waren im Wesentlichen vergleichbar. Die Analyse der postoperativen Ergebnisse zeigte eine vergleichbare Rate an Wundheilungsst\u00f6rungen (10\u202f% vs. 17\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,647). In der Gruppe des akut abszedierten Sinus trat kein Rezidiv im Beobachtungszeitraum auf, w\u00e4hrend sich in der chronischen Gruppe\u00a02 (11\u202f%) Rezidive zeigten (<jats:italic>p<\/jats:italic>\u202f=\u20090,206).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Ergebnisse der Limberg-Plastik als einzeitige Therapie des Pilonidalabszesses sind mit denen beim chronischen Sinus pilonidalis vergleichbar. Es zeigt sich ein Trend zu einem geringeren Rezidivrisiko. Der Einsatz der Limberg-Plastik scheint daher auch in der akuten Infektsituation eine ad\u00e4quate Therapieoption.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-021-01439-0","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T09:02:57Z","timestamp":1623834177000},"page":"182-189","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen","Results of the Limberg flap procedure in acute and chronic pilonidal abscesses"],"prefix":"10.1007","volume":"93","author":[{"given":"Jamal","family":"Driouch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Braumann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Dehnst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ikram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Alnammous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Bausch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Glatz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"1439_CR1","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.1002\/bjs.5074","volume":"92","author":"T Akca","year":"2005","unstructured":"Akca\u00a0T, Colak\u00a0T, Ustunsoy\u00a0B et\u00a0al (2005) Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease. 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