مرکز منطقه ای اطلاع رساني علوم و فناوري - Rhomboid excision and Limberg flap for managing pilonidal sinus: Short-term results

Abstract :

Objectives: Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Treatment varies in relation to the presentation of the disease. Accordingly, several surgical methods show that the most ideal method is not still found because of high recurrence rates. We investigated the efficacy of rhomboid excision and Limberg flap in the treatment of pilonidal sinus.Materials and methods: Because of chronic and subacute sacrococcygeal pilonidal sinus disease rhomboid excision and Limberg flap closure technique was applied to 32 (Male / Female 21/11) patients. The median follow-up duration was 4 to 9 months. Operative time, hospital stay, recurrence rate and early complications were compared.Results: The mean age of the patients was 28.8 ± 23 years; mean operative time was 68 (52-77) minutes. The average hospital stay was 1 (1-3). Early wound complications were in 6.2% (n=2) patients. There was no recurrence during follow-up.Conclusion: The results show that rhomboid excision and Limberg flap closure technique can be used particularly for the treatment of large sacrococcygeal pilonidal sinus cases. It may be preferred for low relapse rate, short hospital stay, low complication rates and labor force loss, despite poor cosmetic results.