Comparative Study between Primary Simple Closure and Limberg Flap Technique in Pilonidal Sinus Disease

Pilonidal sinus disease (PSD) is a common chronic, benign disease of young adulthood. Pilonidal disease is an infection under the skin in the gluteal cleft. Pilonidal literally means a „„nest of hair”. Known risk factors include family history, local trauma, sedentary occupation, and obesity. Pilonidal sinus disease is a blind track, which extends from the skin of natal cleft up to the presacral fascia. For treatment, various noninvasive and surgical methods (simple incision and drainage, lying open, marsupialization, excision and primary closure, or rhomboid excision and Limberg flap) have been performed. We perform comparative study between primary simple closer and Limberg flap technique to compare results of wound infection, wound haematoma, and wound disruption, recurrence, hospital stay time. We perform limberg flap technique and primary simple closure of pilonidal sinus. According to the result of our study Limberg Flap is a better technique to reduce recurrence, wound infection rate and wound disruption in comparison to primary simple closure technique.