Abstract

Background: Pilonidal sinus is a relatively common condition affecting men twice as often as women. Decubitus ulcer is more prevalent in elderly and mainly at sacral region. The management of pilonidal sinus disease or sacral decubitus ulcer remains controversial and gold standard treatment modality has yet to be established. Limberg procedure is a safe and reliable technique in the treatment of sacrococcygeal sinus/ ulcer disease, with low complication and recurrence rates if performed according to appropriate surgical principles.

Methods: This is a Prospective study on 25 patients between Jan 2016 to july 2017 at General surgery Department at a tertiary care hospital.. Patients having primary or recurrent pilonidal sinus disease, Decubitus sacral ulcer and Malignant sacral ulcer underwent this operation.

Results: Twenty five patients had this surgery. Among them, 22 (88%) were males and 3 (12%) were female. Of all patients operated, 21 (84%) presented with Pilonidal sinus, 3 (12%) with decubitus sacral ulcer and one (4%) with malignant ulcer in the natal cleft region. The mean age was 36, (Range: 19–75 years). 3 (12%) presented with recurrent sinus and 1 of them had previous surgery on more than one occasions. Twenty three patients (92%) had full primary healing without any complication. One (4%) patient had minimal epidermolysis of flap corners. One (4%) patient developed Venous congestion of the flap in immediate post-op.

Conclusion: Limberg's transposition flap is an effective treatment in terms of its low complication rate, a short hospital stay, short time to return to normal activity, low recurrence rate, patient comfort and good long term results. The surgery can be easily mastered.