“Limberg’s vs Modified Limberg’s”: Outcomes in Pilonidal Sinus Surgery

Pilonidal sinus is a chronic and debilitating condition requiring effective surgical treatment.Various surgical have been in use for treating pilonidal sinus.However controversies still exist.Limberg's Rhomboid flap reconstruction is widely used technique in pilonidal sinus disease.There were reports stated tht midline of anal region getting infected, macerated and recurrence.To compare outcomes of Limberg's and Modified Limberg's Rhomboid flap reconstruction procedures in patients with Pilonidal sinus.A case series report of 15 patients who underwent surgical treatment using either of the procedures in our institution.Modified Limberg's showed improved wound closure, reduced wound dehiscence and no recurrence.Mean hospital stay was less, and Time spent in the toilet was also significantly more when compared with Traditional Limberg's.The Modified Limberg's procedure offers improved surgical outcomes, less recurrence and reduced complications.Surgeons should consider using the Modified Limberg's procedure as the primary treatment option for sacrococcygeal pilonidal sinus especially in recurrent cases.Further studies are needed to establish its superiority.