Title: Limberg Flap Repair: Our Experience
Authors: Dr Atul Sharma, Dr Navneet Parashar, Dr Rakesh Sharma, Dr Santosh Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.75
Abstract
Background: There are numbers of surgical methods have been devised over a year for treatment of pilonidal sinus but none have been accepted as procedure of choice. Plastic reconstruction procedures have advantage of early recovery, less pain, early return to work & low recurrence. Limberg repair is our procedure of choice which we present here as our experience.
Method: From August 2013 to Jan 2017, 57 patients were treated with Limberg flap repair under regional anaesthesia in a Govt. Medical College Kota & associated hospitals.
Results: No major anaesthetic complication or wound infection developed.
One patient (2 percent) had a seroma (with negative culture) and two patients (3.7 percent) had flap necrosis. Patients returned to full activity on the 10th to 15th postoperative day. Patients were followed from 6 to 42 months. There was not a single case of recurrence had been reported.
Conclusion: Excision & Limberg flap repair is an easy and effective technique with short learning curve. Patient comfort, early healing, early return to activity, and least complications and recurrence rates are the advantages of this procedure.
Keywords: Pilonidal sinus; Limberg flap; Rhomboid excision.
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