JA Jayalal¹, Edwin Kins Raj², John Nickson² and Geethanjali³*

¹HOD and Professor Department of General Surgery, Kanyakumari Government Medical College, Tamil Nadu, India
²Assistant Professors Department of General Surgery, Kanyakumari Government Medical College, Tamil Nadu, India
³Postgraduate, Department of General Surgery, Kanyakumari Government Medical College, Tamil Nadu, India

*Corresponding Author: Geethanjali, Postgraduate, Department of General Surgery, Kanyakumari Government Medical College, Tamil Nadu, India.

Received: January 07, 2025; Published: March 04, 2025

Abstract

Background: Young individuals with a male preponderance often suffer from sacrococcygeal pilonidal sinus illness, which has a high morbidity rate. The best way to treat pilonidal sinuses does not exist. The lower end of the wound, located at the midline close to the anus, is susceptible to maceration, infection, and serves as an entrance for loose hair, increasing the risk of recurrence. The Limberg flap is a technique for managing the pilonidal sinus that eliminates the sinus and provides tension-free wound closure.

Patients and Methods: Two groups of 20 individuals with primary pilonidal sinus disease were created. The traditional Limberg flap was used to treat patients in group 1, while a modified Limberg flap was used to treat patients in group 2.

Results: Group 1 included 10 patients with a mean age of 25.48 ± 5.403 years and 10 patients in group 2 with a mean age of 24.15 ± 4.789 years. The disease duration was 14.2174 ± 5.8686 months in group 1 versus 15.6739 ± 5.812 months in group 2; P values were 0.216 and 0.235, respectively. Wound maceration was higher in group 1 than in group 2, P value of 0.014. There was disease recurrence in two patients in group 1 while there was no recurrence in group 2 (P = 0.495).

Conclusion: One effective treatment for pilonidal sinus disease is the modified rhomboid flap procedure. By moving the bottom portion of the incision away from the midline, it lessens wound maceration and may lessen the likelihood that the disease would reoccur

Keywords: Limberg Flap; Pilonidal Sinus; Natal Cleft

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Citation

Citation: Geethanjali., et al. “Limberg Flap vs Modified Limberg Flap in the Management of Pilonidal Sinus-A Retrospective Comparative Study".Acta Scientific Gastrointestinal Disorders 8.4 (2025): 03-08.

Copyright

Copyright: © 2025 Geethanjali., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.