ABSTRACT
to evaluate the outcome of modified Limberg transposition flap in surgical reconstruction after excision of pilonidal sinus. This prospective study was performed on 40 consecutive patients presented by chronic sacrococcygeal pilonidal sinus, underwent surgical excision and reconstruction with the modified Limberg transposition flap. Patients were 32 [80%] males and 8 [20%] females. The mean age was 24.13 +/- 6.88 [15 - 48] years. Thirty four [85%] patients were presented by primary pilonidal sinus and six [15%] patients were presented by recurrent pilonidal sinus; two after lay-open method and four after simple primary closure method without lateralization of the scar. All patients were operated upon under spinal anaesthesia. The mean length of hospital stays was 2.60 +/- 0.86 days [range, 2-5] and the mean time to return to normal activities was 10.67 +/- 1.67 days. There was no flap necrosis or evidence of recurrence has been observed after mean follow-up of 8.10 +/- 2.29 months [range, 5-12 months]. Reported complications included; two partial wound dehiscence after removal of sutures, three seroma formation, and two patients had developed superficial wound infection. Surgical reconstruction after excision of pilonidal sinus with modified Limberg transposition flap is an effective method for the management of pilonidal disease, especially when dealing with recurrent pilonidal sinus. It is easily learned and is a valuable technique available to the general surgeon