The Outcomes of Keystone Perforator Island Flap Versus Lay Open in Re-recurrent Pilonidal Sinus Disease

Zagazig University24 enrolled

Overview

Pilonidal disease is a common and annoying problem with a fair recurrence rate. Every time of recurrence more skin is needed to cover the defect and if left open healing is supposed to be prolonged.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pilonidal Sinus Treatment

Interventions

keystone flapPROCEDURE

facio-cutaneous flap used to cover the defect after removal of the disease

lay openPROCEDURE

after removal of the disease, the wound is left open to heal by granulation tissue

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * re-recurrent pilonidal disease Exclusion Criteria: * patients with proved anal or perineal malignancy or autoimmune disease * patient with pilonidal disease for the first time or for the first time of recurrence

Locations (1)

Faculty of Medicine

Zagazig, Sharqia Province, Egypt

Outcomes

Primary Outcomes

operative time

Time frame: operative time is measured in minutes from incision to wound dressing

bleeding amount

intra and post operative bleeding amount is measured in cc by volumetric method

Time frame: amount of blood lost is measured from incision for 2 days post operative

healing time

Time frame: healing time is measured for 3 months post-operatively

wound infection

wound infection evaluated by presence of pus from the first day post-operativel

Time frame: wound infection is evaluated for 3 months post-operatively

Data from ClinicalTrials.gov

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