The investigators think, that the treatment of pilonidal sinus with excision and covering of the defect with a Limberg-flap is a very good treatment option. The investigators are introducing this treatment for recurrences of this illness in our clinic and want to analyse the feasibility, the results, the complications and the patients opinion after the treatment. If the results are good, a prospective randomised study is a further option.
1. Patients, that come to our clinic with problems caused by a pilonidal sinus are informed about the different treatment options of the illness. * If the patient suffers of a recurrence of the illness, a complete excision, followed by a covering of the defect with a Limberg-flap is recommended. * If the patient has the first time problems by a pilonidal sinus, we recommend an open limited excision of the fistulas. * In cases with acute infected situation, we first conduct a very limited incision/excision and treat them with antibiotics. The treatments mentioned before are in such cases offered 3 to 4 Weeks after the fist little operation. 2. All Patients, that wish their pilonidal sinus treated with a complete excision followed by a covering of the defect with a Limberg-flap, are asked if they are willing to participate in the observational study. 3. Patients, who gave their informed consent for the operation and the study are included. 4. Preoperative data are recorded. 5. The patients are operated on and intraoperative data (e.g. how big was the flap) are recorded. 6. After 3 Weeks the patients are checked and complications, happiness and duration of the time off work are recorded. 7. After a year the patients are contacted by sending them a postal questionnaire, which they send back to us. Additionally the are contacted by phone. Recurrence, other complications and their opinion concerning the treatment and its consequences are recorded.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Complete excision of the pilonidal sinus and covering of the defect by a Limberg-flap from one buttock
Department of sugery, Cantonal hospital of St. Gallen
Rorschach, Canton of St. Gallen, Switzerland
Department of surgery, Cantonal hospital of St. Gallen
Sankt Gallen, Canton of St. Gallen, Switzerland
Recurrence of a Pilonidal Sinus After Operation Using a Limberg-flap Procedure
At 1 year all patients were assessed. Patients with a recurrence of a pilonidal sinus were counted. The result is given as number of patients suffering from a recurrence.
Time frame: 1 year
Minor Complications (Wound Complications)
All wound complications were assessed; part of them being only very minor dehiscences or slight infections. They were assessed in the outpatients clinic at 3 Weeks and in the follow-up control initiated at 1 year. All patients suffering from a wound complication that occurred in the first year were counted.
Time frame: 1 year
Reoperations Needed for Treatment of Complication
All patients were seen at the outpatients clinic at 3 weeks. Follow-up control was initiated at 1 year. All reoperations that were done were assessed and measured.
Time frame: 1year
Patient Overall Satisfaction With Procedure
Follow-up was initiated at 1 year. A postal questionnaire was sent to the patients with a VAS assessing overall satisfaction. Possible values were: lowest: 0; highest 10.
Time frame: 1 year
Body Image Score
Patients was sent a postal questionnaire at 1 year, assessing body image with the body image questionnaire adapted from Dunker et al. Body image score resulting form 5 questions: worst 5; best 20.
Time frame: 1 year
Cosmetic Score
Patients was sent a postal questionnaire at 1 year, assessing cosmesis with the body image questionnaire adapted from Dunker et al. Cosmetic score resulting form 3 questions: worst 3; best 24.
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Time frame: 1 year