Comparative outcome study between simple closure and flap technique in Pilonidal sinus disease
PDF Downloads : 75    VIEW PDF


Pilonidal Sinus Disease
Limberg flap technique

How to Cite

Magar, D. R., & Magar, D. R. (2022). Comparative outcome study between simple closure and flap technique in Pilonidal sinus disease. VIMS Health Science Journal , 9(1), 03-07.


Introduction: Pilonidal sinus disease (PSD) is a disease of natal cleft in sacrococcygeal region. The main goal of treatment is low recurrence rate, short hospital stays, early return to work and decrease post-operative work. Present study was undertaken to compare and find clinical outcome between simple closure and flap techniques. Methodology: 30 patients of Pilonidal sinus disease (PSD) which were fit to undergo surgery were included. 15 patients undergone simple closure and 15 undergone flap technique (Limberg). Result: Wound Infection, Post-operative discharge and Recurrence rate was found higher in group I patients (20 %, 23.33 %, 30 % and 26.66 % respectively) compared to Group II cases. Difference is statistically significant (p Value 0.03, 0.04, 0.008 and 0.02 respectively). Discussion: Recurrence of the sinus probably depend mainly on the ability of the procedure to obliterate the depth of natal cleft. In the present study we found flap procedures superior in combating the disease recurrence than excision with simple closure. Conclusion: It is recommended that Limberg flap method should be used in the treatment of pilonidal sinus disease over other modalities.
PDF Downloads : 75    VIEW PDF


Khanna A, Rombeau JL (March 2011). "Pilonidal disease". Clinics in Colon and Rectal Surgery. 24 (1): 46–53

Ferri, Fred F. (2017). Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1. Elsevier Health Sciences. p. 995.

Jain A, Thambuchetty N. Management of pilonidal sinus disease: a 5 years retrospective analysis. Int Surg J. 2016;3(2):586-588.

Steele SR, Perry WB, Mills S, Buie WD. Practice Parameters for the Management of Pilonidal Disease. Dis Colon Rectum. 2013;56(9):1021-1027

Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yilmaz F; Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics, 2010; 65(2):125–131.

McCallum IJ, King PM, Bruce J; Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ, 2008; 336: 868-871

Gopal Ram, Suresh Kumar Saini, Mohmmad Salim, Prabhu Dayal Sinwar Comparative Study between Primary Simple Closure and Limberg Flap Technique in Pilonidal Sinus Disease. Sch. J. App. Med. Sci., 2015; 3(1F):417-424

Mentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M; Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg., 2008; 393(2): 185-189.

Osmanoglu G, Yetisir F; Limberg flap is better for the surgical treatment of pilonidal sinus. Results of a 767 patients series with an at least five years follow-up period. Chirurgia (Bucur)., 2011; 106(4): 491-494.

Tavassoli A, Noorshafiee S, Nazarzadeh R; Comparison of excision with primary repair versus Limberg flap. Int J Surg., 2011; 9(4): 343- 346.

Yamout SZ, Caty MG, Lee YH, Lau ST, Escobar MA, Glick PL; Early experience with the use of rhomboid excision and Limberg flap in 16 adolescents with pilonidal disease. J Pediatr Surg., 2009; 44(8): 1586-1590.

Darwish AM, Hassanin A; Reconstruction following excision of sacrococcygeal pilonidal sinus with a perforator-based fasciocutaneous Limberg flap. J Plast Reconstr Aesthet Surg., 2010; 63(7): 1176-1180.

Müller K, Marti L, Tarantino I, Jayne DG, Wolff K, Hetzer FH; Prospective analysis of cosmesis, morbidity, and patient satisfaction following Limberg flap for the treatment of sacrococcygeal pilonidal sinus. Dis Colon Rectum, 2011; 54(4): 487-494.

Muhammad Sohail Jabbar, Mahwish Mahboob Bhutta, Nayyab Puri. Comparison between primary closure with Limberg Flap versus open procedure in treatment of pilonidal sinus, in terms of frequency of post-operative wound infection. Pak J Med Sci January - February 2018 Vol. 34 No. 1

Omar Abdelraheem, Magdy Khalil. Comparative study between excision with primary closure versus Limberg flap for treatment of primary sacrococcygeal pilonidal sinus. Int Surg J. 2017 Nov;4(11):3581-3585

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2022 Dr. Ram Magar, Dr. Rupali Magar


Download data is not yet available.