Limberg Flap Reconstruction: An Effective Technique for Sacrococcygeal Pilonidal Sinus

Background: Sacrococcygeal pilonidal sinus have prolonged morbidity and recurrence following surgery. For management of pilonidal sinus many conventional surgical procedures have been described and all have their merits and demerits. The present study aims to evaluate the efficacy and complications of Limberg flap reconstruction. Methods: 30 patients underwent Limberg flap reconstruction between January 2019 to september 2019 were evaluated for various parameters. Results: All patients successfully underwent surgery, with minimal postoperative pain, mean hospital stay for 2.73 ± 0.86 days with early return to work.2 patients developed seroma, 1 developed wound infection, no flap necrosis and recurrences was noted. All complications were managed conservatively. Conclusions: Limberg flap for reconstruction of the defect after excision of sacrococcygeal pilonidal sinus is an effective and reliable technique, easily performed with subjectively high patient satisfaction. It was associated with complete cure and low incidence of post-operative complications.