An experience of limberg flap for pilonidal sinus

Background: pilonidal sinus disease has been treated for a long time with conventional open excision technique. the rhomboid flap of limberg is a transposition flap that has been pleaded for treatment of this condition. study design: clinical trial duration & place of study: department of surgery: choudary akram teaching & research hospital,lahore from january 2013 - december 2014. methods: we present our experience with the limberg technique for both primary and recurrent pilonidal sinuses. total of 54 patients,with pilonidal sinus disease were treated with rhombic excision and limberg transposition flaps. all sinus tracts were resected en bloc,and the fasciocutaneous limberg flap was prepared from the gluteal region and closed it with a suction drain. results: full primary healing was obtained in 54 patients,1 patient had epideromolysis and 2 had minor infection. but all these complications healed uneventfully. the average hospital stay was 4-5 days. follow up period was 2 year and no recurrence. conclusions: limberg transposition flap is a promising surgical technique.