Pilonidal Sinus, Sacrococcygeal Pilonidal Disease
Conditions
Keywords
Karydakis Flap, Pilonidal Cyst
Brief summary
In this study, we aim to compare the Karydakis flap and Burow's Triangle Advancement Flap techniques applied in the surgical treatment of pilonidal sinus in terms of complications, time to return to normal activity, and recurrence.
Detailed description
Pilonidal sinus disease (PSD) is a chronic and inflammatory disease that is often generated in the sacrococcygeal region. It is commonly observed in puberty and young adult period and usually affects men. The incidence of pilonidal sinus disease is 26:100,000 and rising globally. PSD risk factors contain young age, obesity, male gender, Mediterranean ethnicity, deep natal cleft, hairiness, and poor hygiene. It has been shown that PSD incidence increases in parallel with body weight. The precise etiology of pilonidal sinus disease is unclear. Many conservative and surgical methods have been described in treating pilonidal sinus disease. After the sinus area is excised, excision with laying open (secondary healing), excision with primary closure, marsupialization, and various flap techniques can be applied in surgical treatment. The primary principle in treatment is to ensure that the patient returns to normal life as soon as possible and eliminate recurrences. Although the best surgical technique in treating pilonidal sinus is controversial, the ideal operation should be cost-effective, simple to perform, short hospital stay, and have a low recurrence and complication rates. There is no definite consensus on an ideal technique yet. In this study, we aim to compare the Karydakis flap and Burow's Triangle Advancement Flap techniques applied in the surgical treatment of pilonidal sinus in our clinic in terms of complications (wound dehiscence, seroma, hematoma, surgical site infection), time to return to normal activity, and recurrence.
Interventions
PROCEDUREKarydakis Flap Procedure
Pilonidal sinus surgery will be performed with the Karydakis Flap procedure.
PROCEDUREBurow's Triangle Advancement Flap Procedure
Pilonidal sinus surgery will be performed with the Burow's Triangle Advancement Flap procedure.
Sponsors
Istanbul Sultanbeyli State Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients between the ages of 18-65 * Primary pilonidal sinus disease * No abscess and absence of active infection during the operation
Exclusion criteria
* Patients under the age of 18 and over the age of 65 * Recurrent pilonidal sinus cases * Patients with chronic comorbidities such as immunosuppression, collagen tissue disease, insulin-dependent diabetes mellitus, and neurological disease * Patients with an ASA score of 3-4 * Patients with a body mass index greater than 35 kg/m2 * Patients with drug and alcohol addiction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score according to the visual analogue scale | 1-3 days | Postoperative pain after surgery ( measured by the visual analog score with 1 being minimum score and 10 being maximum score) |
| Postoperative wound healing time | 4 to 6 weeks | Number of weeks of complete duration epithelialization of the wound |
| Procedure-related complications | 1 to 6 weeks | Number of complications; related to the surgery, Type (wound dehiscence, seroma, hematoma, surgical site infection) |
| Time to return to normal activity | 4 to 6 weeks | The number of weeks it passes the patient to return to normal activity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence of Pilonidal Sinus | 6 - 12 months | Number of patients with recurrence pilonidal disease |
Countries
Turkey (Türkiye)
Contacts
Primary ContactMuhammer Ergenç, MD
Outcome results
None listed