Prospective Evaluation of Feasibility and Results of the Treatment of Pilonidal Sinus by Excision and Covering of the Defect With a Limberg-flap.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pilonidal Sinus
- Sponsor
- Cantonal Hospital of St. Gallen
- Enrollment
- 70
- Locations
- 2
- Primary Endpoint
- Recurrence of a Pilonidal Sinus After Operation Using a Limberg-flap Procedure
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Recurrence or persistence of a pilonidal sinus
- •Elective Limberg-flap operation
- •Written informed consent of the patient for the operation and participation of the study
Exclusion Criteria
- •Doubts of the capability of the patient to understand the study or to decide.
Outcomes
Primary Outcomes
Recurrence of a Pilonidal Sinus After Operation Using a Limberg-flap Procedure
Time Frame: 1 year
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.
Secondary Outcomes
- Cosmetic Score(1 year)
- Body Image Score(1 year)
- Reoperations Needed for Treatment of Complication(1year)
- Minor Complications (Wound Complications)(1 year)
- Patient Overall Satisfaction With Procedure(1 year)