Publication:

Management of pilonidal sinus in sacrococcygeal region using Limberg transposition flap with acceptable and safer outcome: a case series

Sacrococcygeal pilonidal sinus is a disease that arises from chronic irritation and secondary inflammation of hair follicles located in the sacrococcygeal and natal region, commonly seen among the young male adult population. There are multiple treatment options available ranging from non-medical to surgical procedure. The present study aims to evaluate the efficacy and complications of Limberg flap reconstruction surgery. 8 consecutive patients underwent Limberg flap reconstruction from October 2022 to February 2023 at Midnapore Medical College with a median follow-up duration of 12 months and were evaluated for various parameters. All patients successfully underwent reconstructive surgery, with minimal post- operative pain, average hospital stay for 7 days, returned to work after 3 weeks, with only 1 patient having superficial surgical site infection (SSI), but no flap necrosis, seroma formation, recurrences so far. Overall the Limberg flap technique is an effective and reliable technique having fewer post-operative complications, low recurrence rate, easily performed with patient satisfaction, and is emerging as the standard of care.