Pilonidal sinus disease with especial reference to Limberg flap

This article lays an emphasis on “Pilonidal Sinus disease” along with the historical background, materials, and methods used. The term ‘Pilonidal’ was coined by Hodge in 1880. The disease commonly affects middle-aged working population and most often arises in the hair follicles of the natal cleft of the sacrococcygeal area. This disease affects males thrice as much as females because of their hirsute nature. Pilonidal sinus is associated with obesity, sedentary occupation, and local irritation or trauma. The management of pilonidal disease is complex and a big burden on hospital and community resource because of the recurrent nature of the disease. Various surgical methods have been practiced to treat sacrococcygeal pilonidal sinus disease. Each method is associated with different postoperative complications, morbidity, and recurrence rates for each of the procedures. The most simple approach for pilonidal disease is simple incision. It is effective for simple, superficial, small, and mostly midline tracts. Excision is a simple technique used for chronic and recurrent pilonidal sinuses. Rhomboid Limberg flap reconstruction plastic surgery procedure was done after proper preoperative assessment and preparation in all cases.
Source: Apollo Medicine - Category: Journals (General) Source Type: research