View clinical trials related to Pilonidal Sinus.
Filter by:The Investigator's information in the Responsible Party data elements is not properly formatted. Please provide the investigator's "Official Title" (e.g., Director, Head of Otolaryngology, Principal Investigator, Clinical Professor).Pilonidal sinus disease is a common health problem. It is seen most frequently in the sacrococcygeal region. However, it can also observed in the umbilicus. Although rare, umbilical pilonidal sinus (UPS) disease, is still poorly understood both in terms of diagnosis or pathophysiology and the best treatment options. The incidence and the prevelance of the disease is thought to be 0.6% and %0.1, respectively, and is more common in males. Pilonidal sinus disease of the umbilicus is caused by hair penetrating the skin, causing a foreign-body reaction and development of a sinus lined with granulation tissue. Most of the patients complain of pain, discharge or bleeding from the umbilicus when symptoms develop. It can be diagnosed with a careful examination, in which hairs can be seen deep in the umbilicus and usually protrude from a small sinus. The first article, which can be considered as umbilical pilonidal sinus disease was first published by Dr. Warren in 1854, and he described the removal of a sprinkle of hair from the umbilicus. But the term "umbilical pilonidal sinus" was first described and used by Williams and Patey in 1956. Since this initial reference to umbilical pilonidal sinus there have been approximately only 30 reports in the literature. Most of them are case reports and remaining consists of small case series. But until now no prospective randomised studies have been published related to UPS. UPS is one of the most neclected disease that few reported studies and lack of the prospective randomised studies in the literature, and no cosensus about the treatment of the disease supports this idea. However, it may be actually more common than thought and may be found more frequently if sought specifically. The aim of the study was to compare the results of conservative and surgical treatment, to create an algorithm for the management of the disease, and gain more information about the etiologiy, pathogenesis, and course of the disease. The investigators hypothesise that surgical treatment of UPS will be better than conservative management in terms of recurrence rate, healing time, patient comfort and satisfaction, and cost effectiveness.
This study examines performing pilonidal sinus surgery minimal invasively with videoendoscopic approach.
Methylene bleu use in pilonidal sinus surgery is not an effective guidance as expected.
Pilonidal disease is a common disorder of the sacrococcygeal region. It comprises a variety of problems, including infection/abscess and the development of a chronic sinus cavity.here we try a minimmally invasive method for managing such condition
A pilonidal sinus is a cyst on the natal cleft of the buttocks that often contains hair and skin debris. The condition is common and requires surgery to be cured. Several surgical procedures are described in literature. Limberg Flap technique is frequently used technique for this disease all over the world. However, Bascom Cleft Lift Technique is relatively newer technique. The purpose of this prospective randomized study is comparison of these techniques about patient satisfaction for postoperative period.
To evaluate and compare between excision with primary closure of wound and excision with Rhomboid flap reconstruction in the treatment of pilonidal sinus as regard duration of operation, healing time, hospital stay, complications and recurrence rate.
As this is a proof-of-concept study, the primary objective is to provide preliminary data on the safety and efficacy of Bioresorbable Wound Scaffold in the management of acute wounds left to heal by secondary intent.
A pilonidal sinus is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. The condition is common and requires surgery to be cured. Several surgical procedures are described in literature. The most common surgical procedure in Sweden is excision of the sinus followed by suturing the subcutaneous tissue and skin. This method, however, has some problems regarding healing and recidives. Therefore this study is comparing the standard excision procedure to another surgical procedure, laying open. Healing frequency is the main variable, but postoperative pain, sick leave time and patient satisfaction is also measured.
Recurrence, Complications, Work-off date, Healing time and Patients Willingness in Karydakis Technique for Treatment of Sacrococcygeal Pilonidal Sinus versus Healing by Secondary Intention (EHSI) Technique in Imam Khomeini Hospital from 2008 to 2011
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.