Limberg flap procedure for sacrococcygeal pilonidal sinus: a prospective study

Abstract

Background: Sacrococcygeal pilonidal sinus is a common and morbid disease associated with high recurrence rate after surgery. Many conventional surgical procedures have been described for its management with their merits and demerits. The present study aims to evaluate the efficacy and complications of Limberg flap reconstruction surgery.Methods: 32 consecutive patients underwent Limberg flap reconstruction between January 2015 to November 2016 and were evaluated for various parameters.Results: All patients successfully underwent surgery, with very minimal postoperative pain, average hospital stay for 5 days, returned to work after 19 days, with 2 patients having seroma, 1 having flap necrosis, 1 developed wound infection and no recurrences so far. Patients with complications were managed conservatively.Conclusions: Limberg flap for reconstruction of the defect after excision of recurrent sacrococcygeal pilonidal sinus is an effective and reliable technique, easily performed, with high patient satisfaction, associated with complete cure and low incidence of post-operative complications.