Healing Wound, Pilonidal Disease, Recurrence
Conditions
Keywords
complex pilonidal disease, unroofing curettage, recurrence, Lay open technique
Brief summary
This study aimed to investigate the outcomes of patients who underwent UC as the primary intervention for simple or complex SPD
Detailed description
Sacrococcygeal pilonidal disease (SPD) is a well-known chronic inflammatory condition that affects young adults; There are many treatment options available today, from simple non-surgical methods to extensive flap procedures. However, elaborate treatment strategies can turn this easily treatable disease into a long-term surgical ordeal, causing complications worse than the primary disease itself. While, UC is considered safe and effective for treating simple SPD, its suitability for treating complex disease is poor and controversial. To date, no studies have investigated the efficacy of UC specifically when treating complex SPD. This is the first study to identify and compare efficacy and outcomes after UC in patients classified into simple and complex SPD groups. This study was conducted at the Department of Surgery of the Diskapi Training and Research Hospital in Ankara, Turkey. The local ethics committee of the institution approved the study protocol (number 27/02, dated March 22, 2016), and written informed consent was obtained from all participants.
Interventions
PROCEDUREunroofing curettage
Surgery was performed with the patient lying in the prone position under local anesthesia. The tract was identified by passing small artery forceps along its length and was then opened by cutting directly down onto the forceps. The sinus and all its tracts were completely unroofed, and the base was curetted to remove all necrotic content, hair, and granulation tissue using a dry gauze. The fibrotic back wall was left as intact as possible to avoid delayed healing. Hemostasis was achieved using diathermy with no drainage needed.
Sponsors
Ankara Diskapi Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Consecutive patients aged 18 years or older
Exclusion criteria
* acute pilonidal abscess * poorly controlled * diabetes mellitus, * immunosuppressive or coagulation disorders, * pregnancy and/or lactation, * other acute surgical diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence | 15 days | After healing was complete, any new sinus orifice or discharge from the wound was defined as disease recurrence. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complete healing time | 15 days | time after surgery until the wound is completely epithelialized |
| VAS pain score | 15 days | Visual analog scale for pain |
| time to return to daily activities | 15 days | time after surgery until the to return to daily activities |
Countries
Turkey (Türkiye)
Outcome results
None listed