To evaluate the long-term outcomes of Limberg flap reconstruction in patients with recurrent pilonidal sinus disease at a single U.S. center.
Key Findings:
Thirty-seven patients were included, predominantly male (76%) with a median BMI of 29.4 kg/m².
59% of patients were active smokers and 52% had multiple previous pilonidal operations.
The median operative time was 72 minutes, with 92% discharged on the same day and no surgical drains used.
Postoperative complication rate was 11%, primarily wound dehiscence.
No recurrence was observed during the median follow-up of 4.5 years.
Interpretation:
Limberg flap reconstruction for recurrent pilonidal sinus disease demonstrated durable disease control and acceptable morbidity, supporting its use in complex cases.
Limitations:
Retrospective design may introduce bias.
Limited generalizability due to single-center study.
Data sharing is restricted due to patient privacy and ethical considerations.
Conclusion:
Limberg flap reconstruction is a viable surgical option for patients with recurrent pilonidal sinus disease, offering effective long-term outcomes.
