Pilonidal Sinus
Limberg Flap
The Limberg rhomboid flap is a reconstructive technique for complex or recurrent pilonidal sinuses. After complete excision of the diseased tissue, a rhomboid-shaped skin flap is rotated to fill the defect, flattening the natal cleft to prevent recurrence. Dr. Adarsh, based in Bangalore, achieves recurrence rates below 5 percent with this technique.
About Limberg Flap
The Limberg (rhomboid) flap is a reconstructive technique for large or recurrent pilonidal sinuses. After complete excision of the sinus, a rhomboid-shaped flap of skin and subcutaneous tissue is rotated to fill the defect, flattening the natal cleft. This technique has the lowest recurrence rate and is Dr. Adarsh's preferred approach for complex, recurrent, or extensive pilonidal disease.
Signs & Symptoms
Large or extensive pilonidal sinus
Recurrent pilonidal sinus after previous excision
Multiple failed previous treatments
Wide area of involvement with multiple tracts
Treatment Approaches
Limberg Rhomboid Flap
Modified Limberg Flap
Why Choose This Approach
Benefits of Treatment
Lowest recurrence rate (< 3%)
Primary wound closure — no open wound
Flattens the natal cleft to prevent recurrence
Definitive treatment for complex cases
Well-established technique with predictable outcomes
Recovery Timeline
Wound monitoring. Drain management.
Limited sitting. Drain removal. Wound care.
Suture removal. Gradual return to sitting.
Resume all activities including exercise.
Why Choose Dr. Adarsh for Limberg Flap?
Expert Surgeon in Bangalore
Over 20+ years of experience performing limberg flap procedures in Bangalore with excellent outcomes. Fellowship-trained in Belgium and Boston University, USA.
Faster Recovery
Minimally invasive techniques mean less pain, smaller scars, and quicker return to normal activities.
Advanced Technology
Access to the latest laparoscopic, robotic, and laser surgical equipment at Apollo Clinic, Indiranagar, Bengaluru.
Personalized Care
Every patient across Bangalore receives a customized treatment plan based on their specific condition and health goals.
Common Questions
Frequently Asked Questions
Related Procedures
Explore other pilonidal sinus procedures offered by Dr. Adarsh.
Book Your Limberg Flap Consultation
Discuss your limberg flap treatment options with Dr. Adarsh M. Patil at Apollo Clinic, Indiranagar, Bengaluru. Get a personalized assessment and transparent cost estimate.