Limberg Flap in Pilonidal Sinus: Experience in Shaheed Suhrawardy Medical College Hospital

Area of Science:

• Surgical techniques
• Anorectal conditions
• Reconstructive surgery

Background:

• Pilonidal sinus disease is a prevalent anorectal condition affecting young adults.
• Debate persists regarding the optimal surgical management for pilonidal sinus disease.
• Sacrococcygeal pilonidal sinus disease requires effective treatment strategies.

Purpose of the Study:

• To evaluate the advantages and outcomes of rhomboid excision and Limberg flap reconstruction for sacrococcygeal pilonidal sinus disease.
• To assess the efficacy of the Limberg flap technique in managing pilonidal sinus disease.
• To determine complication rates and patient recovery associated with this surgical approach.

Main Methods:

• A cross-sectional study involving 19 patients treated for sacrococcygeal pilonidal sinus disease.
• Utilized rhomboid excision and Limberg flap reconstruction as the surgical intervention.
• Data collected on postoperative outcomes, complications, hospital stay, and recovery time.

Main Results:

• All patients experienced good postoperative outcomes with minimal discomfort.
• Patients were discharged within 3-4 days, indicating a reduced hospital stay.
• Complications were observed in 3 cases, suggesting a low complication rate.

Conclusions:

• Limberg flap coverage is highly effective for pilonidal sinus disease management.
• The technique is associated with low complication and recurrence rates, earlier healing, and shorter time off-work.
• Rhomboid excision and Limberg flap reconstruction is an easily mastered and indispensable tool for treating sacrococcygeal pilonidal sinus disease.