Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

Authors

  • Binod Bade Shrestha Department of Surgery, Manipal College of Medical Sciences, Pokhara, Nepal
  • Mikesh Karmcharya Department of Surgery, Manipal College of Medical Sciences, Pokhara, Nepal
  • Laxmi Bogati Department of Surgery, Manipal College of Medical Sciences, Pokhara, Nepal
  • Pradeep Ghimire Department of Surgery, Manipal College of Medical Sciences, Pokhara, Nepal

DOI:

https://doi.org/10.31729/jnma.4301

Keywords:

complications; cutaneous defects; limberg rhomboid flap.

Abstract

Introduction: Limberg rhomboid flap is an extremely useful and versatile technique to cover the
cutaneous defects in various anatomical locations of different etiology and varied sizes. The main
aim of the study is to find the prevalence of complications after limberg rhomboid flap in patients
with cutaneous defects at a tertiary care hospital.

Methods: This descriptive cross-sectional study was conducted at a tertiary care hospital from
October 2015 to November 2018 after obtaining approval from the institutional review committee.
Study population is patient admitted to ward and outpatient department of surgery. Convenience
sampling was done. Data was entered and analyzed in statistical package for social sciences and
point estimate at 95% confidence interval was calculated along with frequency and proportion for
binary data.

Results: Out of total patients, the complications were seen in total 8 (15.7%) patients. Prevalence
of complications is 8 (15.7%) at 95% confidence interval (7.85-23.56). Among which, complications
were seen in 5 (9.8%) bed sore, 2 (3.92%) in pilonidal sinus, 1 (1.96%) in traumatic ulcer and none in
neoplastic lesion and types of complications seen were wound gaping in 3 (5.88%) cases, surgical site
infection in 2 (3.92%) cases, recurrent pilonidal sinus in 1 (1.96%) case, flap necrosis in 1 (1.96%) case
and epidermolysis in 1 (1.96%) case.

Conclusions: The Limberg rhomboid flap can be used safely in patients with cutaneous defect
with minimal complications and good surgical outcome however prevalence of complications after
limberg rhomboid flap in patients with cutaneous defects at tertiary care center is high compared to
the previous studies done.

 

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Published

2019-04-30

How to Cite

Shrestha, B. B., Karmcharya, M., Bogati, L., & Ghimire, P. (2019). Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital. Journal of Nepal Medical Association, 57(216). https://doi.org/10.31729/jnma.4301

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Original Article

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