Flap Reconstruction Following Rhomboid Excision Of The...

Limberg flap Reconstruction following rhomboid excision of the sacrococcygeal Pilonidal sinus. INTRODUCTION Pilonidal sinus is a common disease of the young adults. Most frequently seen in the sacrococcygeal region. Estimated incidence is 26 per 1, 00,000 people. It generally presents as a cyst, abscess, or sinus tracts with or without discharge in the presacral region. Men affected more often than women, rarely seen before puberty as well as after the age of 40 years. Pilonidal sinus is not a major problem in terms of surgical techniques. However, considering the age group and gender it affects, it is a grave disease that can cause a significant loss in labor and earning and can cause disruption of the educational activities. Literature suggested the various surgical methods to treat sacrococcygeal pilonidal sinus disease like good hygiene of the area with clipping of hairs, wide excision of the area and packing, excision and primary closure, marsupialization, and newer flap procedures, but none is widely accepted. Recurrence ranged from 1–40 % regardless of the technique used. It is the main concern in the treatment. Male gender, obesity, smoking, family tendency, poor body hygiene, sinus size, and the surgical procedures performed have been confirmed in a number of studies as primary risk factors for postoperative complications and recurrence. Limberg in 1946 first designed Limberg rhomboid flap for sacrococcygeal pilonidal sinus. He described a technique for