Limberg Flap (Rhomboid flap)
Rhomboid-shaped excision and rotational flap closure — fills the defect with healthy tissue, flattens the natal cleft, and gives durable, low-recurrence results for pilonidal sinus.
What is Limberg Flap (Rhomboid flap)?
The Limberg Flap, also called the Rhomboid flap, is a well-established surgical technique for pilonidal sinus disease, particularly effective for larger or recurrent cases. The diseased tissue is excised in a rhomboid (diamond) shape, and a matching rhomboid flap of healthy tissue is rotated from the adjacent buttock to fill the defect with healthy, well-vascularised tissue. The flap also flattens the natal cleft, reducing recurrence. Dr. Tejasree Vengala, an experienced female proctologist in Hyderabad, performs Limberg flap surgery at Lux Hospitals, Hyderabad, with attention to clean technique and durable, off-midline healing.
How the Procedure Works
Anaesthesia & Marking
Surgery is performed under spinal or general anaesthesia. A rhomboid pattern is marked over the diseased area.
Rhomboid Excision
The sinus and surrounding unhealthy tissue are excised in a rhomboid shape down to the underlying fascia, ensuring clean margins.
Flap Design & Mobilisation
A matching rhomboid flap of healthy skin and fat is designed from the adjacent buttock and gently mobilised with its blood supply preserved.
Flap Rotation & Inset
The flap is rotated into the defect and sutured in layers, filling the area with well-vascularised tissue and flattening the natal cleft.
Drain & Recovery
A small drain is placed and removed when output is minimal. Most patients are discharged in 1–2 days with structured wound care and follow-up.
Outcomes
Who Needs This Treatment?
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Effective for large or recurrent pilonidal disease
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Brings healthy, well-vascularised tissue to the defect
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Off-midline closure with low recurrence rate
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Single-stage procedure with primary healing
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Faster return to work compared to open healing techniques
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Excellent durability for long-term cure
When the disease is extensive or recurrent, a Limberg flap turns a difficult problem into a clean, healed wound. We move healthy tissue into the defect, flatten the cleft, and give the body the best possible chance to heal once and for all.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Limberg Flap (Rhomboid Flap) Cost in Hyderabad
The cost of Limberg flap surgery in Hyderabad depends on the extent and complexity of pilonidal disease, the size and location of the sinus, the number of tracts, recurrence, investigations required, and the care needed before and after surgery.
For patients requiring Limberg flap surgery for suitable pilonidal sinus disease, the approximate cost ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Limberg Flap (Rhomboid Flap) | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, whether the disease is recurrent or complex, and whether any additional procedures are required.
Factors That Influence Limberg Flap Cost
The overall cost may depend on:
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Extent of pilonidal disease: The size, number of sinus tracts, presence of infection or abscess, and whether the condition is recurrent may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If abscess drainage, sinus tract excision, or other procedures are required along with Limberg flap surgery, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, dressing requirements, and follow-up visits may influence the final estimate.
Is Limberg Flap Covered by Insurance?
Limberg flap surgery may be covered by health insurance when it is performed for a medically necessary pilonidal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether Limberg flap surgery is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.