The limberg flap reconstruction – the optimal surgery for pilonidal sinus disease

Ramu Shapur Srihari,Appaji Mandya Naveen,Harinatha Sreekar

doi:10.7241/ourd.20163.73

Abstract

The limberg flap reconstruction – the optimal surgery for pilonidal sinus disease

Highlights

Pilonidal sinus disease is a common condition usually seen in young adults causing significant morbidity
Pilonidal disease generally presents as a cyst, abscess, or one or more sinus tracts with or without discharge in the upper part of the natal cleft [3,4]
This prospective study was conducted from July 2013 to May 2015 in two surgical centers. It includes 46 patients who were treated for pilonidal sinus disease by sinus excision and Limberg flap procedure

Summary

Introduction

Pilonidal sinus disease is a common condition usually seen in young adults causing significant morbidity. Our study analyzes the efficiency of rhomboid excision of sinus and its tract, and reconstruction with Limberg flap in the management of pilonidal sinus disease. Materials and Methods: From July 2013 to May 2015, 46 patients were operated for pilonidal sinus disease by rhomboid excision Limberg flap reconstruction in two surgical units. One patient developed recurrent lesion after 4 months, which may be due to improper excision of the sinus. Conclusion: Limberg flap is very effective for pilonidal disease with comparatively fewer complication, short hospitalization, lesser rates of reoccurrence, early healing and lesser time off-work. Pilonidal disease generally presents as a cyst, abscess, or one or more sinus tracts with or without discharge in the upper part of the natal cleft [3,4]. Implantation of hair leads to infection and abscess formation later leading to discharging sinus

Methods

Results

Discussion

Conclusion