Abstract

Sacrococcygeal pilonidal sinus is an acquired condition usually seen in young adults especially males. The aim of this prospective study was to determine the efficacy, patient feasibility, compliance and outcomes of wound infection, postoperative pain relief, recurrence rate and return to work with the Limberg flap rotation surgery for the sacrococcygeal pilonidal sinus. A total of 15 patients were operated in the department of surgery from January 2020 to June 2022, including both primary and recurrent diseases, and patients with previous incision and drainage done for the pilonidal abscess. All patients successfully underwent surgery, with very minimal postoperative pain, stayed in hospital for average 7 days, returned to work after 3 weeks, with 3 patients having flap edema, 2 having flap necrosis, and no recurrences. Patients with flap edema and flap necrosis took 2–3 weeks to heal with antibiotic usage and regular dressing. Limberg flap for sacrococcygeal pilonidal sinus was found to useful and sound in terms of postoperative pain, infection rates, and with almost nil recurrences

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