DOI: https://doi.org/10.36347/sasjs.2026.v12i03.004

Pages: 197-203

Background: Pilonidal sinus disease is a common and debilitating condition that predominantly affects young adults, especially males, and is characterized by chronic inflammation of the natal cleft with a tendency for recurrence and significant morbidity despite various surgical treatment options. The purpose of the study is to evaluate the perioperative course and early postoperative outcomes of patients undergoing Limberg flap surgery for pilonidal sinus. Methods: This prospective observational study at the Department of Colorectal Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh (July 2019–August 2020) included 18 adult patients with primary pilonidal sinus who underwent Limberg flap repair, with perioperative outcomes, complications, and recovery assessed at follow-up, and data analyzed using SPSS® 24 under ethical approval and patient consent. Results: Among 18 patients undergoing Limberg flap surgery for pilonidal sinus, the mean age was 26.9 ± 5.2 years, with 88.9% male. Mean operative time was 88.8 ± 12.7 minutes, hospital stay 4.17 ± 0.7 days, and return to work 12.7 ± 1.8 days. Postoperative complications occurred in 5 patients (27.7%), mainly seroma and tip necrosis, with no recurrences up to 9 months; overweight strongly correlated with complications (r = 0.93, p < 0.001). Conclusion: Limberg flap surgery for pilonidal sinus is safe and effective, allowing early recovery with low complication rates, though overweight patients have higher risk of postoperative complications.