Pilonidal Sinus
Conditions
Keywords
Endoscopic Pilonidal Sinus Treatment (EPSiT)
Brief summary
Compare clinical outcomes of endoscopic pilonidal sinus treatment (EPSiT) with excision treatment with a randomised clinical trial.
Detailed description
Primary outcome: complication rate Secondary outcomes: Quality of life, recurrence rate, length of stay, post operative pain (NRS), return to work time, time to complete wound healing, resource use. Allocation ratio 2:1
Interventions
Specialised fistuloscope to indentify sinus tracts, cautery tracts, remove causative hair, irrigation.
Surgery to remove all affected tissue, followed by wound closure.
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I or II * Pilonidal disease \<3 previous treatments * Previous incision and drainage allowed * Over 16 years
Exclusion criteria
* Co-morbidity \>ASA II * Unable to consent themselves * Under 16 years * Vulnerable adults
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complication rate | 12 months | As described by Dindo et al 2004 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life (QoL) | 12 months | QoL utilising validated tool |
Countries
United Kingdom