Limberg Flap Reconstruction for Sacrococcygeal Pilonidal Sinus Disease: An Experience from Western India

A BSTRACT Background: Sacrococcygeal pilonidal sinus is a common and morbid condition usually seen in young adults, especially males, and it is associated with high recurrence rates. Aims and Objectives: The present study aims to evaluate the efficacy of the Limberg flap reconstruction surgery and the complications such as wound infection, postoperative pain relief, and the recurrence rates. Materials and Methods: A total of 21 patients of pilonidal disease, including both primary and recurrent cases, were operated by the same surgical team from January 2018 to December 2022 and the same protocols were followed for the postoperative care. All the patients successfully underwent surgery, with very minimal postoperative pain, stayed in hospital for an average of 4 days, returned to work after 2 weeks. Results: One patient out of 21, had wound infection and another 1 developed flap tip necrosis. One patient developed a recurrence which was then treated with local rotational flap. Patients with flap infection and tip necrosis took 2–3 weeks to heal with regular dressing and antibiotic usage. Conclusion: Limberg flap for sacrococcygeal pilonidal sinus was found very useful and acceptable in terms of postoperative pain, infection rates, and early return to work with very less recurrence rate.