Abstract

LIMBERG FLAP VS PRIMARY CLOSURE OR HEALING BY SECONDARY INTENTION AS MANAGEMENT FOR SACCROCOCCYGEAL PILONIDAL SINUS (SCPS): A REVIEW

*Dr. R. N. Sahai, Dr. Satish Kr. Sheoran and Dr. U. C. Biswal

Abstract

Saccro-Coccygeal Pilonidal Sinus is a common affliction seen mostly in young slightly obese hirsute males. There are many ways to manage this, most commonly being excision and leaving a raw area to heal by secondary intention. This procedure necessitates long periods of dressing which causes much distress and inconvenience to patients. Also this method does not address to one of the basic causes of Sacrococcygeal pilonidal sinus which is suction effect of a deep natal cleft. The other procedures are difficult to master and have their own set of issues for successful management. This study focuses on management of Saccro-coccygeal pilonidal sinus by complete excision of infected tissue and on table primary coverage of defect using a Limberg flap which is a rotational local flap hence has a good survivability, is easy to master and address very well to management of deep natal cleft too. This study compares the commonest three methods of management of SCPS which are excision and healing by secondary intention or closing the wound primarily and use of Limberg flap for primary closure of the defect.

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