Iraqi Postgraduate Medical Journal

Abstract

BACKGROUND:
Sacrococcygeal pilonidal sinus disease is a common condition that commonly seen in young adult
males. It is disease that have high rates of morbidity unless properly identified and treated.
OBJECTIVE:
To study the procedure of Limberg flap reconstruction and to evaluate the results and success of
Limberg flap reconstruction in pilonidal sinus disease management.
PATIENTS AND METHODS:
40 patients with pilonidal sinus disease selected randomly, rhomboid excision with Limberg flap
was done for them. Duration of operation, postoperative pain, duration of hospital stays and
postoperative complications were noted. Follow up of all patients was performed on an out-patient
basis.
RESULTS:
Our study consists of 40 patients, 35males (87.5%) and 5 females (12.5%), with a mean age of 27.2
years range (18-36 years). The mean duration of symptoms was 2.25 months (range 1–3 months).
Mean operative time was about 42.2 minutes (range 40-45 minutes), time to return to work and
normal activities from 3 to 4 weeks. Postoperative complications occur in 4 patients in the form of
wound infection and seroma.
CONCLUSION:
Limberg rhomboid flap in sacrococcygeal pilonidal sinus is useful in primary pilonidal sinus and in
recurrent cases, has been associated with lower complication rates, healing time, and recurrence
rates, and it is an easily mastered technique.