Limberg flap reconstruction-a reliable and one time solution for chronic recurrent sacrococcygeal pilonidal sinus

Abstract

Background: Sacrococcygeal pilonidal sinus is a acquired disease of the adult age especially male, with significant morbidity and high recurrence rate. The management of the pilonidal sinus varies from incision and drainage, excision and packing dressing, excision and primary closure, marsupialization, excision and flap cover. Limberg flap technique is single stage procedure and is superior to other technique in terms of less complication and low recurrence rates thus reducing hospital stay, cost and good patient compliance. Aims & Objective: The aim of this study is to discuss feasibility and outcomes of Limberg flap reconstruction in chronic recurrent pilonodal sinus. Methodology: This is a retrospective study involving 14 patient from June 2019 to June 2020; all were men of age group 25 to 40 years with recurrent pilonodal sinus. Result: A total of 14 patients underwent Limberg flap surgery after excision of pilonodal sinus, under spinal anaesthesia. Methylene blue dye was injected in the sinus. Sinus tract with adjacent tissues were excised and beyond the sinus limit to create a rhombic defect. Inferiorly based Limberg flap was planned at the site depending on the pliability of skin. Donor area was closed primarily. Patient was nursed prone.