Unroofing Curettage for Pilonidal Disease

Ankara Diskapi Training and Research Hospital203 enrolled

Overview

This study aimed to investigate the outcomes of patients who underwent UC as the primary intervention for simple or complex SPD

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.

Study Type

OBSERVATIONAL

Enrollment

203

Conditions

Pilonidal Disease Recurrence Healing Wound

Interventions

unroofing curettagePROCEDURE

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.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

Ankara Diskapi Training and Research Hospital

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Recurrence

After healing was complete, any new sinus orifice or discharge from the wound was defined as disease recurrence.

Time frame: 15 days

Secondary Outcomes

complete healing time

time after surgery until the wound is completely epithelialized

Time frame: 15 days

VAS pain score

Visual analog scale for pain

Time frame: 15 days

time to return to daily activities

time after surgery until the to return to daily activities

Time frame: 15 days

Data from ClinicalTrials.gov

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