Limberg Flap Reconstruction
Rhomboid excision with rotational flap — gold standard for recurrent or complex pilonidal sinus with under 5% recurrence.
What is Limberg Flap Reconstruction?
The Limberg flap (rhomboid flap) excises the entire pilonidal sinus complex and covers the defect with a rotational skin flap from the adjacent buttock. By moving the scar off-midline and flattening the natal cleft depth, the Limberg flap eliminates the anatomical cause of recurrence — achieving under 5% recurrence versus 15–20% with simple midline excision.
Dr. Tagore Mohan Grandhi performs Limberg flap reconstruction for recurrent or complex pilonidal sinus disease. Post-operative laser hair removal is performed at 6 weeks to provide additional long-term protection against recurrence.
Suitable for patients with recurrent pilonidal sinus after previous surgery, complex multi-tract disease, deeply natal-cleft anatomy, or any pilonidal sinus where the recurrence risk with primary closure is unacceptably high.
How the Procedure Works
Rhomboid Excision Design
Pilonidal sinus area marked as a rhomboid. Flap designed from buttock skin with adequate vascular base.
Rhomboid Excision
Entire pilonidal sinus complex excised within the rhomboid to presacral fascia. Complete haemostasis.
Flap Elevation
Rhomboid skin and subcutaneous flap elevated from the adjacent buttock to fill the excision defect.
Off-Midline Inset
Flap inset off-midline — scar placed away from the cleft depth and secured with sutures over a drain.
Suture Removal
Sutures removed at 10–14 days. Post-operative laser hair removal at 6 weeks. Return to desk work in 2–3 weeks.
Outcomes
Who Needs This Treatment?
- →Under 5% recurrence — dramatically lower than 15–20% with simple midline excision
- →Flattens natal cleft depth — eliminates the anatomical cause of recurrence
- →Off-midline scar placement away from mechanical stress of the cleft
- →Excellent cosmetic result — vascularised, tension-free flap closure
The Limberg flap is the most effective surgical option for pilonidal sinus — under 5% recurrence by eliminating the natal cleft depth that drives the problem. For recurrent or complex disease, it gives patients a definitive solution.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Limberg Flap Reconstruction Cost for Pilonidal Sinus in Hyderabad
The cost of Limberg Flap Reconstruction for Pilonidal Sinus in Hyderabad depends on factors such as the size of the defect, recurrence history, complexity of disease, surgical requirements, and post-operative care.
For patients with recurrent pilonidal sinus or large defects, the approximate cost of Limberg Flap Reconstruction ranges between ₹55,000 and ₹1,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Limberg Flap Reconstruction | ₹55,000 – ₹1,00,000 |
The final cost may vary depending on your individual condition, surgical complexity, hospital stay, and recovery requirements.
Factors That Influence Limberg Flap Reconstruction Cost
The overall cost may depend on:
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Size and complexity of disease: Large defects or recurrent sinus disease may require advanced surgical planning.
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Previous treatment history: Patients with previous surgeries or recurrence may require additional evaluation.
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Surgical requirements: Flap reconstruction, anaesthesia, hospital stay, and post-operative monitoring can influence the final estimate.
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Recovery and follow-up care: Wound care, activity restrictions, medications, and follow-up consultations may contribute to treatment expenses.
Is Limberg Flap Reconstruction Covered by Insurance?
Limberg Flap Reconstruction may be covered by health insurance when performed for medically necessary treatment of pilonidal sinus. Coverage depends on your insurance policy, insurer approval, and documentation requirements.
Our insurance support team can assist with policy verification, required documents, cashless approval procedures, and insurance-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will evaluate your pilonidal sinus severity, recurrence history, and overall health to determine the appropriate surgical option. She will explain the procedure, recovery process, expected outcomes, and provide a personalised cost estimate based on your individual condition.
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