A Proposed Staging System for Chronic Symptomatic Pilonidal Sinus Disease and Results in Patients Treated With Stage-based Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 367
- 主要终点
- Early wound complications
研究概览
简要总结
A staging system was defined based on morphological extent of disease (stage I to stage IV for primary disease, and stage R for recurrent disease). Specific surgical technique was used for each stage. Demographics, perioperative data, short-term and long-term outcomes were evaluated according to the disease stage.
详细描述
The collected data of patients who underwent surgery for the treatment of pilonidal sinus disease prior to June 2011 were analyzed. Following this analysis, a staging system was defined based on morphological extent of disease (stage I to stage IV for primary disease, and stage R for recurrent disease). Specific surgical technique was used for each stage. "Pit-picking" technique was performed under local anesthesia on an outpatient basis in stage I and stage IIa patients. For stage IIb and stage III patients, the Bascom Cleft Lift /modified Bascom Cleft Lift techniques were performed. For stage IV patients, the rhomboid excision with the Limberg flap technique was used. Demographics, perioperative data, short-term and long-term outcomes were evaluated according to the disease stage.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals with symptomatic pilonidal sinus disease.
排除标准
- •Pilonidal sinus disease which identified incidentally and which presented with acute abscesses were not included to the staging system.
- •Patients who were treated without the use of the suggested algorithm were excluded from the analysis.
结局指标
主要结局
Early wound complications
时间窗: up to 3 months
Complications were classified as infection (superficial or deep), collection (seroma or hematoma), wound dehiscence (partial or complete), or anesthesia-related complications. complications will be reviewed from time of surgery to the end of healing. percentage of participants with any wound complication will be evaluated as patients with complication.
次要结局
- Primary healing rate(within 3 months)
- Operative duration (''Operative duration'' is defined as the time between the initiation of the incision and the application of the last suture.)(during surgery)
- Assessment of recurrence (recurrence is defined when symptoms of the disease recurred after an interval following complete wound healing.)(3 years)
- Hospital stay "The interval from the day of surgery to the day of discharge was recorded as the ''hospital stay.''(during first week (one week))
研究者
Ali GUNER, MD
MD
Trabzon Numune Training and Research Hospital