OUR EXPERIENCE OF LIMBERG FLAP IN TREATMENT OF PILONIDAL SINUS: A CASE STUDY OF 100 PATIENTS OPERATED IN A TERTIARY CARE CENTRE IN NORTH INDIA

Abstract

Pilonidal sinus is an acquired condition which is caused due to prolonged sitting and most commonly seen in males with excessive hair in natal cleft region. Its aetiology is controversial. This study of ours is a retrospective case study done at safdarjung hospital, New Delhi on patients who have been operated between january 2015 to december 2018 for pilonidal sinus as Pathology, technique of preference is limberg flap and post operatively follow up done for 6 months to look for post operative recurrence, complications like wound infection, pain relief and return to work. All this data was collected from on table findings, post operative duration of stay and follow up in Outpatient basis. A total of 100 patients were operated using rhomboid excision of the pilonidal sinus followed by Limberg rotational flap. The male to female ratio was 93:7. The average duration of stay in hospital was 4 days. Seroma was formed in two patients and suture line dehiscence was seen in two patients and the complications were managed conservatively. Patients returned to work post operatively after rest of 3 weeks as been prescribed in follow up. No delayed complication in the form of recurrence was noted. Overall, in our experience limberg flap reconstruction for pilonidal sinus surgery is effective and highly reliable method with minimal post operative complications and patient satisfaction.
Keywords: pilonidal sinus, limberg flap, prone position.