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Pilonidal Disease clinical trials

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NCT ID: NCT03276065 Active, not recruiting - Pilonidal Disease Clinical Trials

Effectiveness of Laser Hair Removal in Pilonidal Disease

Start date: September 5, 2017
Phase: N/A
Study type: Interventional

Pilonidal disease is a common painful condition that affects 26 per 100,000 people with an incidence of 1.1% in the young male population. Recurrence rates of pilonidal disease after initial incision and drainage and after resection have been reported to be 16% and 11% respectively. Furthermore, wound issues after resection with primary closure have been reported to be as high as 30%. In several retrospective studies and small prospective studies, laser hair removal has shown promise as an adjunct therapy to decrease recurrent infections and decrease the need for repeat surgery in adults and older adolescents. We are performing a randomized control trial of laser hair depilation plus chemical/mechanical depilation to examine outcomes related to recurrence of pilonidal disease.

NCT ID: NCT02778152 Completed - Pilonidal Disease Clinical Trials

Pilot Study of Laser Hair Depilation for Pilonidal Disease

Start date: February 19, 2016
Phase: N/A
Study type: Interventional

Pilot study to assess tolerability and safety of laser hair depilation in adolescents and young adults with pilonidal disease.

NCT ID: NCT02330159 Recruiting - Pilonidal Sinus Clinical Trials

Feasibility of a Novel Technique for Pilonidal Wound Healing

Start date: February 2015
Phase: N/A
Study type: Observational

Pilonidal disease (PD) is a chronic disease with a major impact on patient quality of life and productivity. Thus, wound healing would have a significant effect on patient quality outcomes, patient quality of life, and healthcare utilization, as well as societal benefits from allowing this vital population to return to productivity. There is no consensus on postoperative wound care after surgery for PD. Negative pressure therapy is commonly used. However, this therapy is costly and cumbersome, and not evidence-based to optimize wound healing or postoperative patient or financial outcomes. The investigators goal is to investigate the impact of MatriStem® Wound Matrix and MicroMatrix® (ACell, Inc., Columbia, MD) on pilonidal wound healing. Secondary goals are to evaluate the impact of MatriStem Wound Matrix and MicroMatrix on postoperative outcomes, quality of life, and healthcare costs after surgical management of pilonidal disease.

NCT ID: NCT02186964 Completed - Recurrence Clinical Trials

Comparison of Tension Free Primary Closure, Karydaks and Limberg Flap Methods

Start date: February 2011
Phase: N/A
Study type: Interventional

Pilonidal sinus is a chronic inflammatory disorder of intergluteal sulcus. The disease seen in between 15-35 years of age and 3-4 times more in males. The incidence of the disease is found as 8.8% in Turkish soldiers. The disorder mainly affects the quality of life. There are numerous methods in surgical treatment of Pilonidal sinus. The main difference in between those methods is the closing of the defect that occurs after the excision of the sinus tract. The defect can be closed by primary sutures or it can be left for secondary healing. Nowadays, the recurrence rate of flap procedures are lower therefore, flap procedures are commonly used. However, it has been reported that there is no difference between flap procedures and tension free primary closure. This result triggered the controversy that; if the healing side is tension free, midline suturing may have no importance. The aim of this study is to compare the results of 3 different surgical procedures used in treatment of pilonidal disease.

NCT ID: NCT01857128 Recruiting - Pilonidal Disease Clinical Trials

Pilonidal Disease Wound Healing Study

Start date: March 2013
Phase: Phase 4
Study type: Interventional

The purpose of the study is to learn about the best way to treat pilonidal cyst wounds and learn which type of bandage (or dressing) can help the wound heal faster after having surgery.

NCT ID: NCT01268969 Completed - Pilonidal Disease Clinical Trials

Comparison Between Two Different Technique in Treatment of Chronic Pilonidal Disease

PND
Start date: February 2008
Phase: N/A
Study type: Interventional

Comparison between limberg flap and Karydakis flap for treatment of pilonidal disease.

NCT ID: NCT01241136 Completed - Pilonidal Disease Clinical Trials

Open Wide Excision Versus Minimal Surgery for Pilonidal Disease

Start date: February 19, 2010
Phase: N/A
Study type: Interventional

In order to compare the early recurrence rates of pilonidal disease and overall patient satisfaction between procedures involving minimal and wide open excisions, we propose to perform a prospective, randomized clinical trial comparing these two surgical procedures. Randomly assigned patients will undergo either 1) wide excisions of all pilonidal-diseased tissue (e.g. pits, cavity, sinus tracts), including a surrounding rim of normal tissue and left open to heal, or 2) minimal excisions of lined sinus tracts using varying sized trephines. Overall patient satisfaction will be evaluated by the amount of analgesic used for the procedure, the number of dressing changes, the length of convalescence, and overall patient tolerance of the procedures, both intra- and post-operatively. In addition, varying data points will be collected with the use of a quality of life survey and visual analog pain scale to analyze overall patient satisfaction. Patients will be followed for a period of two years following surgery to evaluate for early recurrence of their pilonidal disease.