Abstract
Background: To evaluate Rhomboid excision and
Limberg flap reconstruction for pilonidal sinus in terms of
complications, hospitalization time, days to return to work
and recurrence.
Methods: Patients with simple, complex and recurrent
pilonidal sinus were studied. Patients presenting with
acute abscess were excluded. Patients were followed for a
minimum period of one year to determine the recurrence
of disease.
Results: Over a period of four years 68 patients
underwent classical Limberg flap for pilonidal sinus. A
total of 11(19%) had complications including a major
wound infection causing wound disruption and 3 (4.4%)
recurrent cases were seen.
Conclusions: Rhomboid excision and Limberg flap
reconstruction for pilonidal sinus is a satisfactory method
of achieving surgical cure of disease.