“COMPARATIVE STUDY BETWEEN EXCISION WITH PRIMARY CLOSURE VERSUS LIMBERG FLAP IN THE MANAGEMENT OF SACROCOCCYGEAL PILONIDAL SINUS”

Background: Pilonidal sinus is most commonly seen in young males ,mostly affects hairy men. Widely accepted theory is acquired theory. Post op infection ,recurrence, poor wound healing makes management complex. Materials And Methods: Prospective study conducted on 30 patients who diagnosed with pilonidal sinus and admitted in General surgery department , Chalmeda Ananda Rao Institute of Medical Sciences. Study done for a period of 12months during the period of May 2022 to May 2023. According to inclusion and exclusion criteria patients were selected, Group A patients underwent rhomboid Excision with limberg ap procedure, Group B underwent Simple Excision and primary closure. For both groups operation time, postoperative day, early complications were noted. Late complications eg :hypertrophic scar, delayed wound healing after a month of surgery noted, time for complete recovery ,long term follow up of 6 months was done. Satisfaction of patients with operation and scar formation was reviewed. Comparison of two groups done. Using SPSS software data analysed , and chisquare and students t tests was applied. P< 0.05 considered as statistically signicant. In my Results: study men outnumbered women by a 3:1 ratio.The range of the mean age at presentation :28.47+/8.068 years.The condition was more prevalent in people who spent lot of time sitting down at work. Midline sacrococcygeal area have, variety of symptoms including discomfort, discharge, and swelling. Following surgeries, all of these patients were observed at one and six months, there was a signicant difference in terms of postop complications, pain-free sitting and , pain levels on pods 1 and 4, recurrence, and patient satisfaction. The limberg ap Conclusion: procedure is best advised for the management of uncomplicated sacro-coccygeal pilonidal sinus disease even though it has similar risks to excision with primary closure. These benets include earlier return to physical activity, quicker wound healing, shorter hospital stays, less postop complications, lower pain scores, and better patient satisfaction