Complication, Pilonidal Disease, Recurrence
Conditions
Brief summary
Pilonidal sinus is a chronic inflammatory disorder of intergluteal sulcus. The disease seen in between 15-35 years of age and 3-4 times more in males. The incidence of the disease is found as 8.8% in Turkish soldiers. The disorder mainly affects the quality of life. There are numerous methods in surgical treatment of Pilonidal sinus. The main difference in between those methods is the closing of the defect that occurs after the excision of the sinus tract. The defect can be closed by primary sutures or it can be left for secondary healing. Nowadays, the recurrence rate of flap procedures are lower therefore, flap procedures are commonly used. However, it has been reported that there is no difference between flap procedures and tension free primary closure. This result triggered the controversy that; if the healing side is tension free, midline suturing may have no importance. The aim of this study is to compare the results of 3 different surgical procedures used in treatment of pilonidal disease.
Interventions
PROCEDUREtension free primary closure
tension free primary closure of the defects created by excision of the pilonidal sinus
PROCEDUREkarydakis
the defect after excision of the pilonidal sinus is closed by Karydakis procedure
PROCEDURELimberg flap
defect after excision of the pilonidal sinus is closed by Limberg flap procedure
Sponsors
Konya Meram State Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* having pilonidal sinus disease * desire for surgical treatment * accept to be involved in the study
Exclusion criteria
* patients under age of 18 * recurrent cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recurrence | 2 years | recurrence rates two years after the surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed