Limberg flap technique for sacrococcygeal pilonidal sinus surgery: a report of 192 cases

Introduction: Pilonidal sinus disease commonly occurs in young adult males. Many surgical methods have been described - some have a high recurrence rate. The aim of this study was to evaluate the Limberg flap technique and relationship of the diseases genetic and environmental factors. Methods: The Limberg flap was performed as shown in Figure 1. Results: The mean duration of hospital stay was 3.55 ± 2.75 (range 2–17) days. One hundred forty nine patients (78%) had recurrent disease. Recurrences were observed in 6 patients (3.1%) at the end of the follow up period. Contrary to what is suspected, only 8 (4.1 %) patients had positive family history. Conclusion: Low complication and recurrence rate are important hallmarks of the Limberg flap. Limberg flap may be an ideal operation for pilonidal sinus disease. Regional factors were not associated with genetic factors. Further prospective clinical trials are needed to show the effectiveness of this technique.