Is limberg flap better than excision and primary closure for treatment of sacrococcygeal pilonidal sinus- a prospective randomised study of 30 cases

Abstract

Sacrococcygeal pilonidal sinus is a common presentation to the office of both the General Surgeon and Coloproctologist. Over time various treatment modalities have evolved for the same. Older methods such as excision with or without closure have been associated with higher complications in the post-operative period, recurrence rates and hospital stay. Flap procedures have a longer operative period and a steep learning curve but a better overall post-operative course and lower recurrence rates. Our study was done to compare the outcomes of primary excision and closure to a Limberg flap for treatment of sacrococcygeal pilonidal sinus. The objective of the study was to determine whether Limberg flap was superior to excision and primary closure for treatment of pilonidal sinus. 30 patients presenting with chronic pilonidal sinus where randomly assigned to two groups of 15 patients each. Both the groups were compared in terms of age of presentation, sex prediliction, duration of surgery, post-operative resumption of work, complications and recurrence. We concluded that Limberg flap is superior to excision and primary closure for treatment of pilonidal sinus.

Comparison of excision and primary closure vs. crystallized phenol treatment in pilonidal sinus disease: A comparative retrospective study

“…Even though the two techniques had resembling recurrence and complication rates in prospective randomized controlled research conducted by Sengul et al [3], crystalline phenol treatment is advised due to advantages such as shorter procedural time and less analgesia requirement. In our study, the recurrence rates were similar, but the phenol group was superior to the surgical group in terms of complications.…”

“…Although many treatment modalities have been described for PSD, rapid recovery, minimal patient discomfort, and low recurrence rates are still not achieved [1,2]. There are many studies comparing various treatment methods, but the results obtained are inconsistent [3][4][5][6][7].…”

Treatment of pilonidal sinus with rhomboid excision and Limberg flap operation

“…This finally results in a place that is acutely or chronically infected [11][12] . A clinical examination used to make the diagnosis reveals several pits in natal clefts and sinuses in varied positions 13 . This study was held to assess patient characteristics and treatment outcomes for pilonidal sinus patients who had rhomboid excision and reconstruction with Limberg flap in our setting.…”