Abstract
Background: Pilonidal sinus is a common chronic disease of thesacrococcygeal region. The treatment for a pilonidal sinus varies according to the clinical presentation of the disease.Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrencerates. Setting: Surgical Unit-II, Allied Hospital, PMC, Faisalabad. Material and Methods: This prospective studyincludes 30 patients who were treated with the use of a rhomboid excision and Limberg flap closure for chronic andrecurrent sacrococcygeal pilonidal sinus. The follow-up period ranged from 04 to 08 months. Results: The meanhospital stay was 03 days (range, 03-08 days) and the mean time to return to work was 15 days (range, 12-26 days).Early wound complications were encountered in 03 patients. No recurrence was noted on maximum of 08 months offollow-up. Nine patients had numbness at the operation site and 10% were not pleased with cosmetic appearance ofthe scars. Conclusions: The results favor rhomboid excision and Limberg flap closure in the treatment ofsacrococcygeal pilonidal sinus, especially in recurrent cases and in patients with extensive involvement. Low recurrencerates, shorter hospital stay, and time off from work may outweigh the disadvantages related to unfavorable cosmeticappearance.
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