Sinus Pilonidal
Conditions
Keywords
Sorbact TM, Alginates, Dressing, Wound healing
Brief summary
Sinus pilonidal concern 26/100 000 young adults. It manifests after puberty, presenting as an acute abscess in approximately 50% of patients or as a discharging painful sinus. Patients may experience lengthy healing times resulting in considerable morbidity and disruption to a young adult's life. Eradication of pilonidal sinus is based on a wide surgical excision and at the end of the procedure, the wound is dressed with an alginate dressing (Algosteril®). The objective is to show a better efficiency of Sorbact TM (trademark) dressings compared to Alginates that are standardized dressings after pilonidal sinus excision during a period of 75 days. The main objective is to show a difference of 20% of wounds completely healed in 75 days between the two types of dressing: 50% of wounds healed with Algosteril TM compared to 70% of wounds healed with Sorbact TM.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Man or woman over 18 years old * Informed consent signed by the participant * Affiliation to social security system * Having a pilonidal sinus: * Asymptomatic or discovered by the patient during a routine examination * With chronic recurrent infection and skin rupture
Exclusion criteria
* Patients with concomitant pathology: * cancer treated by chemotherapy * Hypertension uncontrolled systolic blood pressure\>180 mmHg or diastolic\> 110 mmHg * Severe comorbidity with reduced life expectancy less than 12 months * Acute cardiovascular disease (myocardial infarction, stroke, recent heart surgery) within 3 months before inclusion * Patients participating in another clinical trial * Known for intolerance to one of the dressings * Known pregnancy * Uncontrolled diabetes (fasting glucose \>2g/l)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of wounds healed | 75 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Total surface area measure of non-healed wounds | 75 days after surgery |
| VAS pain | every 2 weeks, from randomization up to 4 months or date of healing, whichever comes first |
| analgesic use | every 2 weeks, from randomization up to 4 months or date of healing, whichever comes first |
| antibiotics use | every 2 weeks, from randomization up to 4 months or date of healing, whichever comes first |
| number of dressings used | every 2 weeks, from randomization up to 4 months or date of healing, whichever comes first |
Countries
France