The Outcome of Limberg Flap Procedure in the Management of Primary Chronic Sacrococcygeal Pilonidal Sinus Disease
DOI:
https://doi.org/10.37506/ijfmt.v16i2.17947Keywords:
Pilonidal sinus, Limberg flap, postoperative complications.Abstract
Introduction: Sacrococcygeal pilonidal sinus (PNS) is a common chronic benign disease of young age
group, associated with morbidity, often with a prolong loss of normal activity. Still there is ongoing
debate regarding the best treatment option as all the methods have complications, although; the current
evidence supports the use of off- midline techniques because of lower recurrence rates and avoidance
of all disadvantages of open treatment.This study was done to determine the postoperative outcome
of rhomboid excision and Limberg flap reconstruction as a main procedure in the treatment of PNS
disease in our institute.
Patients and Method: A prospective study conducted at the Department of General Surgery- Baquba
Teaching Hospital- Diyala- Iraq, from January 2017 to June 2019, in which 98 patients (78 male and
20 female) with chronic primary sacrococcygeal PNS were enrolled. The age of the patients ranged
between 16 – 38 years. Patients with acute abscess were first treated by incision and drainage before
definite surgery. Patients were operated by rhomboid excision and Limberg flap reconstruction.
Results: In this study, 98 patients were enrolled, 78 male (79.59 %) and 20 female (20.4%) with male
to female ratio of 3.9:1. The age of the patients ranged between 16 to 38 years with the mean age of
25 years. During the follow up period; 6 patients (6.12%) developed seroma, 4 patients (4.08%) had
infection and 4 patients (4.08%) had recurrent sinus after few months and one patient (1.02%) had
wound disruption.
Conclusion: Rhomboid excision and Limberg flap reconstruction of PNS diseaseis safe and reliable
technique with low complication and recurrence rates if performed according to appropriate surgical
principles.
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Copyright (c) 2022 Bashar Akram Al-Bayati, Salah Salih Mohammed, Mohamad Theyab Hamad

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