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Recovery Time After Excision vs Limberg Flap for Pilonidal Sinus
Sponsor: Sargodha Medical College
Summary
There is a difference mean recovery time in patients undergoing Limberg Flap operation versus simple excision of Pilonidal sinus.
Official title: Comparison of Recovery Time Period in Patients Undergoing Simple Excision vs Limberg Flap Operation of Pilonidal Sinus
Key Details
Gender
All
Age Range
18 Years - 60 Years
Study Type
OBSERVATIONAL
Enrollment
154
Start Date
2025-02-25
Completion Date
2025-12-28
Last Updated
2026-08-26
Healthy Volunteers
No
Conditions
Interventions
Limberg flap operation
Pilonidal surgery by excision and closure using the Limberg flap technique. The excision and flap site will be mapped The ratio of length to width will be 60%. This rhomboid shape incision will be made and continued to the post sacral fascia and the tissue will be excised. Then the fascio-cutaneous flap will be divided from the underlying gluteus muscle and rotated to the defect. The wound will be closed with 2-0 nylon string after hemo-vaccum drain placement. Routine dressing will be performed and removed the day after operation
Simple excision
Pionidal sinus surgery by excision with primary closure only. The excision site will be marked 1 cm away from the sinus. Then an elliptical incision will be made that extended to the post sacral fascia. The tissue will be resected, and proper hemostasis will be done using minimum electrocautery. Tnen the wound will be closed in layers and a vaccum drain (Redivac) will be placed in a subcutaneous plane. Patients will be followed for 4 weeks and recovery time will be noted as per operational definition
Locations (1)
Dr Faisal Masood teaching Hospital Sargodha
Sargodha, Punjab Province, Pakistan