Abstract
Aim: Pilonidal sinus disease is an acquired chronic inflammatory condition which is caused due to involution of hair fragment into the gluteal or natal region. This study was aimed to describe the rhomboid excision with Limberg flap reconstructuion as surgical treatment of pilonidal sinus disease in an effort to redefine the results of this technique.
Methods: The prospective observational study was conducted in the department of General Surgery, SKIMS Medical College, Srinagar. Total of 82 patients were studied over a period of 4 years. The patients with clinical diagnosis of pilonidal sinus in sacrococcygeal natal cleft and admitted for surgical treatment were included in this study. All the patients were subjected to rhomboid excision and limberg flap reconstruction. The patients were followed in the outpatient department for a period of 2 years.
Results: In our study of 82 patients, 60 (73.17%) patients were males and 22(26.8%) were females. Most common age group was 15 to 30 years.68.2% patients of our study presented with discharging sinus as initial presentation. Average operative time was 30 -50 minutes. Drain was removed on second or third post-operative day. Most of our patients were discharged on third post-operative day. The recurrence was seen only in one of our patients.
Conclusion: Limberg flap reconstruction after Rhomboid Excision of pilonidal sinus is a very effective procedure for pilonidal sinus disease. The procedure is easy to perform and is associated with shorter hospital stay, permits early return to complete activity, less complication rates and faster healing.

Key words: Pilonidal sinus disease, Rhomboid Excision, Limberg flap