A Study on Limberg Flap in Management of Pilonidal Sinus in a TertiaryCare Center

Background: Pilonidal sinus is found in natal cleft overlying the coccyx, and consists of non-infected midlineopenings which communicate with a fibrous tract lined by granulation tissue and containing hair lying looselywithin the lumen. Treatment aims at clearing all the tracts and closure of the defect formed.Objectives: This study aims at assessing the use of Limberg rhomboid Flap technique in the treatment ofpilonidal sinus in terms time taken for the procedure, post-operative pain, recovery time and post-operativecomplications.Materials and Methods: This was a Prospective study done for two years in 20 patients of Pilonidal sinus. Thestatistical analysis of data was done and results were obtained.Results: Out of the 20 patients, 12 were male (60%) and 8 were female (40%). The mean duration of procedurefor open technique was 58.40 mins. Post-operative pain experienced was significantly low. Recovery time wassignificantly low (mean of 10.5 days). 4 patients (20%) developed wound discharge and one patient had flapnecrosis and revision, none of the patients had recurrence during follow up for 6 months.Conclusion: Limberg rhomboid flap technique is the most effective surgery to treat pilonidal disease witheffective and speed recovery in the post-operative period.