Muhammad Fahim, Muhammad Salman Shafique, Goher Rasheed, Saadiah Tasnim Shahbaz Bhatti, Naveed Akhtar Malik, Jahangir Sarwar Khan.
Limberg FLAP Reconstruction for Pilonidal Sinus Disease: An Experience.
Ann Pak Inst Med Sci Jan ;9(4):215-8.

Objective: to study the outcome of Limberg flap reconstruction in pilonidal sinus disease Study Design: Prospective study Place and Duration: The study was conducted at Surgical Unit-I of Holy Family Hospital, Rawalpindi from July 2012 to June 2013. Materials and Methods: 20 patients with pilonidal sinus disease underwent rhomboid excision with Limberg flap. Duration of operation, postoperative pain, duration of hospital stay, postoperative complications, and time to recurrence were noted. Follow up of all patients was performed on an out-patient basis, every month for first three months. Results: There were 18 males (90%) and 2 females (10%), with a mean age of 26.2 years. The mean duration of symptoms was 2.25 months. Mean operative time was about 44.4 minutes. Mean pain score (VAS scale), was 3.65. The mean length of hospital stay was 1.75 days and most patients returned to work within 3 weeks. Three patients presented with post-operative complications Conclusion: Limberg flap technique is an effective procedure for pilonidal sinus disease associated with fewer complications and an easily mastered technique.

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