Unroofing Curettage for Pilonidal Disease

Ankara Diskapi Training and Research Hospital

Status: Completed

Conditions: Pilonidal Disease; Healing Wound; Recurrence

Treatments: Procedure: unroofing curettage

Study type: Observational

Funder types: Other

Identifiers

NCT05339828

Pilonidal Disease surgery

Details and patient eligibility

About

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

Full description

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.

Enrollment: 203 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

203 participants in 1 patient group

unroofing curettage

Description:

Surgery was performed with the patient lying in the prone position under local anesthesia. Next, a local anesthetic agent comprising a solution of lidocaine (20 mg/mL) and adrenaline (0.0125 mg/mL) was diluted with distilled water in a 1:2 ratio and applied. 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.

Treatment:

Procedure: unroofing curettage