Pilonidal sinus disease is a common condition seen in young adults affecting gluteal cleft and notoriously recurrent. This study was carried out in patients with pilonidal sinus to evaluate the advantages and result of rhomboid excision and Limberg flap. Materials and Methods: This prospective study was carried out in department of surgery, Al-Ameen Medical college, Bijapur from 2010 to 2015. It includes 25 patients who were treated for pilonidal sinus disease by Limberg flap. The various demographic clinical and surgical data are studied and compared to other studies. Results: In this study 25 patients of Sacrococcygeal pilonidal disease underwent rhomboid excision and Limberg flap reconstruction. The duration of symptoms was 1 to 12 months operative time was 60 – 100 minutes and the post operative stay was 10 – 14 days. The complication observed was superficial skin necrosis in 8% wound infection in 8%, Seroma in 4% with no recurrence. Conclusion: Limberg flap is technical easy and effective mode of management of pilonidal sinus with low complication rate.
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