The Limberg flap repair for complex and recurrent pilonidal disease

Pilonidal disease is a chronic inflammatory disease which has significant negative impact on quality of life. Numerous treatment methods have been described for pilonidal sinus disease. However recurrence is a major concern for both patients and healthcare providers. More aggressive surgical methods such as flap-based off-midline procedures are the most common surgical treatment methods for complex or recurrent pilonidal disease. The Limberg flap is one of the best described flap-based surgical methods. In this review, we highlight the technical details and postoperative short and long-term outcomes of the Limberg flap procedure which is our preferred surgical technique, with low rates of complications and recurrence.