Compare outcome of simple excision with primary closure vs rhomboid excision with limberg flap for pilonidal sinus

Background: Sacrococcygeal pilonidal sinus is a common condition usually affecting young-to-middle-aged men. For managing sacrococcygeal illness, variety of lateralizing surgical flap procedures based on this principle have been published, including the Karydakis flap, Limberg modified Z-plasty, and Y-V advancement flap. Aim: To compare outcome simple excision with primary closure versus rhomboid limberg for sinus. Methodology: Randomized control study conducted in Surgery Department, Ghurki Trust Hospital, Lahore. 90 patients fulfilling inclusion criteria were selected from wards randomly divided two equal groups. In group A, underwent B, closure. The operation was performed under spinal anesthesia. After surgery, evaluated every 24 hours if they are able to move their own then discharged hospital stay noted. Then after 10 days, will be called OPD assessment wound healing. If did heal patient complained pain (VAS>4) cannot sit fever (temp>100oF) Results: average age A 44.37±15.42 years while that B 45.24±14.50 years. there 23(51.1%) males 22 (48.9%) females whereas 25(55.6%) 20(44.4%) females. There difference significant mean both groups (p-value=0.002). Conclusion: conclusion study, disease Limberg's an effective treatment. Keywords: Simple Excision Primary Closure, Rhomboid Excision, Flap, Pilonidal Sinus