" "
Home > Journals > Journal of Plastic Surgery and Transplantation

Journal of Plastic Surgery and Transplantation

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Modified Limberg Flap for Sacrococcygeal Pilonidal Sinus: A Prospective Institutional Study

Johnrose Austin Jayalal , Johnrose Austin Jayalal1 , Selwyn J Kumar2 , Baghavath Pon Kailasm3

Author Information
Licence:


Journal of Plastic Surgery and Transplantation 1(2):p 49-54, . | DOI:
How Cite This Article:

Johnrose Austin Jayalal, Selwyn J Kumar, Baghavath Pon Kailasm. Modified Limberg Flap for Sacrococcygeal Pilonidal Sinus: A Prospective Institutional Study. Journal of Plastic Surgery and Transplantation. 2019;1(1):49-54

Received : N/A         Accepted : N/A          Published : N/A
Abstract

Background: Sacrococcygeal pilonidal sinus is an acquired disease commonly seen in young adults especially males in gluteal cleft and it is known for recurrence and affects the patient’s quality of life. Rhomboid excision of sinus with Limberg rotation flap coverage is a well-known surgical modality for this. This prospective study is carried out to determine the effects of the Limberg flap rotation surgery especially for its feasibility in a General surgical unit for the sacrococcygeal pilonidal sinus patients, their compliance, outcomes of the surgery such as wound infection, postoperative pain relief, recurrence rates, and back to routine duration. Patients and methods: This is a prospective study of 40 Limberg flaps done from 2017 January to 2018 December in general surgical unit by the same surgical team for both primary and recurrent Pilonidal sinuses, and patients who previous incision and drainage had done for the pilonidal abscess. The various demographic, clinical and surgical data are studied and compared to other studies. Results: There were 34 (85%) male patients and 6 (15%) female patients and all patients successfully underwent surgery, with very minimal postoperative pain, stayed in hospital for average 10 days, returned to work after 3 weeks. The operative time, blood loss, hospital stay, surgeon’s performance scale, wound hypothesia, wound cosmoses score, patient satisfaction score, and patient quality of life were studied. The Limberg flap surgery had better clinical results regarding frequency of seroma formation and time to drain removal, pain score and early return to normal works. Out of the 40 patients operated 1 (2.5%) developed superficial skin necrosis, 2 (5%) developed seroma, and 1(2.5%) type-1 diabetic female developed surgical site infection. Conclusion: In this procedure of Limberg flap there are significant benefits in terms of postoperative pain, infection rates, less hospital stay and early return to work with almost nil recurrences.

 

References

No records found.

Funding

Author Information

Authors and Affiliatione

  • Johnrose Austin Jayalal
    ,
  • Johnrose Austin Jayalal1
    ,
  • Selwyn J Kumar2
    ,
  • Baghavath Pon Kailasm3
    ,
Conflicts of Interest
Supplementary Information

Below is the link to the supplementary material.

Rights and Permissions


About this article

Cite this article

Johnrose Austin Jayalal, Selwyn J Kumar, Baghavath Pon Kailasm. Modified Limberg Flap for Sacrococcygeal Pilonidal Sinus: A Prospective Institutional Study. Journal of Plastic Surgery and Transplantation. 2019;1(1):49-54

Licence:


Download citation

Received Accepted Published
N/A N/A N/A
DOI:
Keywords Flap; Limberg; Pilonidal; Rhomboid; Sinus; Sacrococcygeal.

Article Level Metrics

Last Updated

Sunday 08 June 2025, 02:26:08 (IST)

1

Accesses

00
0
00

Citations


22
11
23

View full article metrics including social shares, article views and publishing history


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article


Reprint Order Form
Buy Single Article
Institutional Subscriptions

Share