J Korean Surg Soc.  2008 Feb;74(2):140-142.

Effect of Modified Rhomboid Excision and Limberg Flap for the Treatment of Recurrent Pilonodal Sinus

• Nam YS

Abstract

PURPOSE: Recurrence of a pilonidal sinus after surgery is well known. Many surgical techniques have been developed but there is no efficient method available. This study evaluated the results of a Modified Rhomboid excision and Limberg flap of a pilonidal sinus, and examined the value of this method.
METHODS
Five patients, who had been treated with a modified rhomboid excision and Limberg flap procedure for recurrent pilonidal sinus, were evaluated. The patient's age, gender, duration of symptoms, length of hospital stay, complications, time required for the return to normal activity, and prior history of surgery were evaluated.
RESULTS
The mean age of the 5 patients (4 males and 1 female) was 22.7 years, and all had a history of previous surgery. The mean duration of symptoms was 4.2 years. Only one patient developed seroma. The mean hospital stay was 7.2 days, and the mean time to normal activity was 14.4 days. There was no recurrence.
CONCLUSION
Modified Rhomboid excision and Limberg flap procedure is the optimal method for treating recurrent pilonidal sinus with low complication and recurrence rates.

Keyword

Modified Rhomboid excision; Limberg flap; Recurrent pilonidal sinus

MeSH Terms

Humans
Length of Stay
Male
Pilonidal Sinus
Recurrence
Seroma