Limberg Flap reconstruction for pilonidal sinus

Background: Best surgical treatment of pilonidal sinus is always challenging for a surgeon in term of recurrence. Evaluation of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention of sacrococcygeal pilonidal disease.Methods: In this prospective randomized study of 75 patients of sacrococcygeal pilonidal sinus were divided into 3 equal groups through randomly assigning the type of surgery. 25 patients of each group. Group I was operated by primary midline closure after elliptical excision, Group II rhomboid excision with limberg flap reconstruction and Group III open excision and healing by secondary intention.Results: Data was assessed between three groups in term of operative time, healing time and recurrence over a follow up period of 1 year. Mean operative time in group I (primary midline closure after elliptical excision) was 38.7±5.1 minutes, group II (Rhomboid excision with Limberg flap reconstruction) was 124.2±5.6 minutes, group III (Open excision and healing by secondary intention) was 20.6±5.6 minutes. Mean healing time for group I was 19.0±7.4 days, for group II was 17.0±8.0 days and for group III was 60±9.6 days. Recurrence occurred in 3 patients in group I and nil in group II and III.Conclusions: Rhomboid excision with limberg flap reconstruction is better choice than primary midline closure after elliptical excision and open excision in terms of healing time and reoccurrence in cases of sacrococcygeal pilonidal sinus.

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LIMBERG FLAP RECONSTRUCTION FOR PILONIDAL SINUS: OUR EXPERIENCE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2014/3433 ◽

2014 ◽

Vol 3 (45) ◽

pp. 10986-10991

Author(s):

Suresh Chandu ◽

Ramya Y

Keyword(s):

Pilonidal Sinus ◽

Limberg Flap ◽

Flap Reconstruction

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Limberg flap reconstruction for sacrococcygeal pilonidal sinus disease with and without acute abscess: Our experience and a review of the literature

Archives of Plastic Surgery ◽

10.5999/aps.2018.01312 ◽

2019 ◽

Vol 46 (3) ◽

pp. 235-240 ◽

Cited By ~ 1

Author(s):

Catherine J. Sinnott ◽

Laurence T. Glickman

Keyword(s):

Pilonidal Sinus ◽

Pilonidal Sinus Disease ◽

Limberg Flap ◽

Flap Reconstruction ◽

Review Of The Literature ◽

Sinus Disease

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Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus

Clinics ◽

10.6061/clinics/2014(06)03 ◽

2014 ◽

Vol 69 (6) ◽

pp. 384-387 ◽

Cited By ~ 2

Author(s):

K Duman ◽

Y Ozdemir ◽

E Yucel ◽

ML Akin

Keyword(s):

Pilonidal Sinus ◽

Primary Closure ◽

Limberg Flap ◽

Flap Reconstruction ◽

History Of

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Limberg flap procedure for sacrococcygeal pilonidal sinus: a prospective study

International Surgery Journal ◽

10.18203/2349-2902.isj20172773 ◽

2017 ◽

Vol 4 (7) ◽

pp. 2238 ◽

Cited By ~ 1

Author(s):

Prashant Kumar Singh ◽

Rohit Kumar Gohil ◽

Neeraj Saxena

Keyword(s):

Pilonidal Sinus ◽

High Recurrence Rate ◽

Limberg Flap ◽

Flap Reconstruction ◽

High Patient Satisfaction ◽

Reliable Technique ◽

Average Hospital ◽

Flap Procedure ◽

Low Incidence ◽

A Prospective Study

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.

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