Pilonidal Sinus
Conditions
Keywords
Pilonidal sinus, Bascom cleft lift
Brief summary
The goal of this observational study is to improve care for patients with complex or recurrent pilonidal sinus disease by developing and implementing a best practice care pathway, including a standardized cleft lift operation. The main question it aims to answer is: Does a best practice care pathway with standardized cleft lift operation lead to shorter wound healing time and time to return to normal activities, compared to current standard care, with traditional excision techniques.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 16 years of age and older * Symptomatic complex or recurrent pilonidal sinus disease * Planned for surgical treatment * Signed informed consent
Exclusion criteria
* Pregnant * Insufficient understanding of the Dutch language or otherwise unable to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound healing time | The outcome will be evaluated at each follow-up visit, at 1-3 weeks, 4-6 weeks and 6 months postoperative. If necessary, additional visits will be planned | Time to wound healing (in days), this will be self reported by patients when the skin is completely closed, and will be validated through clinical assessment by the surgeon. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return to normal activities | The outcome will be evaluated at each follow-up visit, at 1-3 weeks, 4-6 weeks and 6 months postoperative. If necessary, additional visits will be planned | Time to return to normal activities after surgery (in days). This will be self reported by patients through a brief checklist on which the activities (washing, dressing, sitting, work/study) should be checked when possible without discomfort. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | Baseline, 4-6 weeks and 6 months postoperative. | Quality of Life, measured with EuroQol 5 dimensions, 5 levels (EQ-5D-5L) questionnaire. The questions are answered on a 5 point Likert scale. Ranging from 5-25, with 5 being the best possible outcome and 25 being the worst possible outcome. Additionally, there is a general question on a 0-100 scale, with 0 being the worst health possible and 100 being the best health possible. |
| Pain | The outcome will be evaluated at each follow-up visit, at 1-3 weeks, 4-6 weeks and 6 months postoperative. | Pain score, on a Numeric Rating Scale ranging from 0-10 with 0 representing 'no pain' and 10 representing 'the worst pain possible' |
Countries
Netherlands