Pilonidal Disease
Conditions
Brief summary
In our hospital, between January 2013 and January 2017, those operated with the Modified Limberg flap method after the Rhomboid excision due to pilonidal disease, and those operated with the un-roofing curettage method will be screened retrospectively. Patients will be divided into two groups as Un-roofing curettage group (UC group) and the Modified Limberg Flap group (LF group). Operation time, hospital stay time, return to work time, recovery time, Time to walk without pain, days, Time to sit on the toilet without pain, days, Postoperative VAS and recurrence will be compared between both groups
Detailed description
In our hospital, between January 2013 and January 2017, those operated with the Modified Limberg flap method after the Rhomboid excision due to pilonidal disease, and those operated with the un-roofing curettage method will be screened retrospectively. Patients who are well followed up will be included in the study. Demographic features will be recorded. Patients will be divided into two groups, the un-roofing curettage group (UC group) and the Modified Limberg Flap group (LF group). Surgery time, hospital stay, return to work time, recovery time, painless walking time, days, painless sitting time in the toilet, days, postoperative VAS, and recurrence will be compared between both groups. In addition, mobilization time, days, recovery time, days, exclusion time, days, wound infection, wound distribution will be compared between groups. The results will be analyzed with the SPSS statistics program. Factors affecting recurrence wound infection, recovery time, hospital stay, operation time, early mobilization will be evaluated by univariate and multivariate logistic regression analysis.
Interventions
PROCEDUREUn-roofing curettage method
In this method, the roof of the pilonidal cyst is opened, and the inside is cleaned, and curettage is performed. The wound is closed with a dressing after hemostasis.
PROCEDUREModified Limberg Flap Group
In this method, the pilonidal cyst is excised with a rhomboid incision and closed with the modified Limberg flap method.
Sponsors
Konya Meram State Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients between the ages of 18 and 70 * Patients with sufficient registration information * Telephone-accessible patients
Exclusion criteria
* Patients under the age of 18 * Patients over 70 years old * Common gluteal disease * Diabetes mellitus * Connective tissue disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mobilization Time,Days | 15 days | Time to return to the daily activities of the patients were measured. |
| Number of Participants With Recurring Disease | Number of Participants with Recurring Disease, up to five years | It has been reported in the literature that a five or ten year follow-up period is required for the effective evaluation of recurrence. In both groups, the number of recurrent patients during the follow-up period will be determined. Observation of the following findings on physical examination made a diagnosis of recurrence; * New sinus orifice formation, * Or discharge from the sinus orifice |
| Operation Time | operation time, up to 100 minutes | Mean operation time was determined in minutes in both groups. |
| Hospitalization Time | Hospitalization time, up to 15 days | In both groups, hospitalization will be determined as a day. |
Countries
Turkey (Türkiye)
Participant flow
Pre-assignment details
When we planned to study, we estimated 200 patients. However, we reached 278 patient data and analyzed them.
Participants by arm
| Arm | Count |
|---|---|
| UC Group Patients operated on the un-roofing curettage method in the treatment of pilonidal disease will be analyzed in this group.
Un-roofing curettage method: In this method, the roof of the pilonidal cyst is opened, and the inside is cleaned, and curettage is performed. The wound is closed with a dressing after hemostasis. | 135 |
| LF Group Patients who have been operated with the Limberg flap method after rhomboid excision in the treatment of pilonidal disease will be analyzed in this group.
Limberg Flap Group: In this method, the pilonidal cyst is excised with a rhomboid incision and closed with the Limberg flap method. | 143 |
| Total | 278 |
Baseline characteristics
| Characteristic | LF Group | Total | UC Group |
|---|---|---|---|
| Age, Continuous | 26.42 years STANDARD_DEVIATION 7.9 | 25.90 years STANDARD_DEVIATION 8.4 | 25.35 years STANDARD_DEVIATION 8.9 |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Region of Enrollment Turkey | 143 participants | 278 participants | 135 participants |
| Sex: Female, Male Female | 16 Participants | 36 Participants | 20 Participants |
| Sex: Female, Male Male | 127 Participants | 242 Participants | 115 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 135 | 0 / 143 |
| other Total, other adverse events | 2 / 135 | 12 / 143 |
| serious Total, serious adverse events | 1 / 135 | 2 / 143 |
Outcome results
Primary
Hospitalization Time
In both groups, hospitalization will be determined as a day.
Time frame: Hospitalization time, up to 15 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| UC Group | Hospitalization Time | 0.24 days | Standard Deviation 0.45 |
| MLF Group | Hospitalization Time | 1.07 days | Standard Deviation 0.26 |
Primary
Mobilization Time,Days
Time to return to the daily activities of the patients were measured.
Time frame: 15 days
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| UC Group | Mobilization Time,Days | 3.21 days | Standard Deviation 3.7 |
| MLF Group | Mobilization Time,Days | 12.3 days | Standard Deviation 7.3 |
Primary
Number of Participants With Recurring Disease
It has been reported in the literature that a five or ten year follow-up period is required for the effective evaluation of recurrence. In both groups, the number of recurrent patients during the follow-up period will be determined. Observation of the following findings on physical examination made a diagnosis of recurrence; * New sinus orifice formation, * Or discharge from the sinus orifice
Time frame: Number of Participants with Recurring Disease, up to five years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| UC Group | Number of Participants With Recurring Disease | 6 participants |
| MLF Group | Number of Participants With Recurring Disease | 2 participants |
Primary
Operation Time
Mean operation time was determined in minutes in both groups.
Time frame: operation time, up to 100 minutes
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| UC Group | Operation Time | 11.44 minute | Standard Deviation 3.56 |
| MLF Group | Operation Time | 52.47 minute | Standard Deviation 7.92 |