Journal of AdvancedMedical and Dental Sciences Research

Background: Pilonidal sinus is a commonly encountered surgical problem, but none of the surgical procedure seem to be representative of ideal for treatment.  The present study was done to compare two techniques which are commonly practised and associated with low recurrence rates. We have compared the outcome after surgical management of pilonidal sinus by Limberg’s flap/ Z plasty or by open method. Material and Methods:  Patient who underwent surgical management for pilonidal sinus, between January 2014 to December 2015, were studied retrospectively. Out of a total of 31 patients,14 patients who underwent Limberg’s flap/ Z plasty were included in group A, 17 patients  underwent open method included in group B. Details were then recorded. Results: Most patients belonged to 3rd decade of life (51.6 %) and mean age was 29.96 ± 6.49 years. Male preponderance (90.3%) was found and M:F ratio was 9.3:1. Both group A and B were demographically comparable and also length hospital stay. Group A took significantly lesser time for complete healing as compared to group B and also reported to have lesser incidence of wound infection and recurrence. Discussion: Limberg’s flap/ Z plasty are superior to open method after excision of pilonidal sinus for its of its low complication rate, short time to return to normal activity, low recurrence rate, patient comfort and good long-term results.
Keywords: Pilonidal  sinus,  Limberg’s flap,  Z plasty