Shaukat Rabbani, Saquib Zahur, Syed Imran Andrabi, Khalid Mahmood, Hasnat Ahmad, Abdul Majeed Chaudhry.
Rhomboid Excision with Limberg Transposition Flap in the Management of Sacrococcygeal Pilonidal Sinus - a Reliable Surgical Technique.
Pak J Med Health Sci Jan ;8(3):782-5.

Background: Pilonidal sinus disease is common in young adult males. Many surgical and non surgical treatments modalities have been described. Some surgical techniques still have high morbidity and recurrence rate. We present our experience with rhomboid excision and Limberg transposition flap technique for both primary and recurrent pilonidal sinuses. Methods: Over a period of two years, 62 patients with chronic pilonidal sinus were treated with this method. Five patients had recurrent disease and were previously treated with other types of surgery. Patients were treated with prophylactic antibiotics and wound closed over a suction drain. Results: Mean post operative hospital stay was four days. There were seven (11.2%) wound complications. A single recurrence (1.6%) of pilonidal sinus was observed over a period of one year of follow-up, which required further surgical excision. Conclusion: Limberg transposition flap is a satisfactory surgical technique for the treatment of pilonidal sinus with low risk of wound complications and recurrence.

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