Reduction Dead Space Volume With Karydakis Modification

Status Completed

Clinical Trial Summary

The purpose of this study is to reduce the volume of dead space by a modification in kardakis flap procedure and consequently, to reduce the use of drains, wound drainage, seroma and hematoma formation, skin degradation and recurrence rates.

Clinical Trial Description

The study was a pilot study of 80 patients. Excluding criteria were previous sinüs surgery, active infection, patients who did not accept the procedure and patients under age of 18. After excision of the sinüs volume was measured using a beaker. A flap extending across the cut (Karydakis) was prepared in medial edge of the wound, 1 cm deep and 2 to 3 cm to be towards the interior. Prepared flap was shifted to the medial and sutured to presacral fascia with vicryl 2/0. To reduce the volume of the dead space formed in the lateral, 5 mm skin was excised along the incision in the flap side. Skin was approximated with sutures in the form of intermittent, using 2/0 poliprolen. No drain used. All patients were discharged on postoperative day 1. Sutures were removed 2 weeks later. All patients for at least 6 months were followed for wound drainage, seroma and hematoma formation, separation of skin and and recurrence. ;

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

PILONIDAL SINUS

Clinical Trial Details

NCT number	NCT02574936
Study type	Interventional
Source	Siverek Devlet Hastanesi
Contact
Status	Completed
Phase	N/A
Start date	January 2014
Completion date	September 2015

View Details

See also
Status	Clinical Trial	Phase
Active, not recruiting	`NCT01963273` - Video Assisted Ablation of Pilonidal Sinus	N/A
Completed	`NCT00716937` - Karydakis Procedure Versus Excision With Healing by Secondary Intention (EHSI) in Sacrococcygeal Pilonidal Sinus	Phase 4
Completed	`NCT06459739` - Effect of Sacral Erector Spinae Plane Block on Hemorrhoid and Pilonidal Sinus Surgery	N/A
Recruiting	`NCT05474911` - PILONIDAL SINUS: CONVENTIONAL CARE VERSUS NEGATIVE PRESSURE THERAPY.	N/A
Completed	`NCT04599517` - The Most Frequently Preferred Surgical Method In The Treatment Of Sacrococcygeal Pilonidal Disease
Recruiting	`NCT02539693` - Sacrococcygeal Local Anesthesia With Different Doses of Clonidine for Pilonidal Sinus Surgery	N/A
Completed	`NCT01081522` - A Preliminary, Non-comparative Study to Evaluate a Bioresorbable Wound Scaffold in Acute Wounds	N/A
Completed	`NCT00997048` - Comparison Between Laying Open and Sinus Excision of Pilonidal Sinus - a Randomized Study	N/A
Not yet recruiting	`NCT04273997` - Metronidazole Ointment in Non-healing Pilonidal Sinus Wounds	Phase 2
Recruiting	`NCT06324656` - The Efficacy of Combining Platelet-rich Plasma With Crystallized Phenol in Pilonidal Sinus Disease	N/A
Completed	`NCT02246192` - Use of Plasma Rich in Growth Factors (PRGF) in Pilonidal Sinus Excision	N/A
Completed	`NCT01662765` - Conservative Versus Surgical Treatment of Umbilical Pilonidal Disease	N/A
Completed	`NCT06206330` - Effect of Platelet Rich Plasma (PRP) on Healing Time in Patients Following Pilonidal Sinus Surgery	N/A
Recruiting	`NCT04217824` - Comparison of Karydakis and Limberg Flap Treatment of Pilonidal Sinus in Adolescent. a Prospective, Randomised Study	N/A
Recruiting	`NCT03483480` - Non-Powered Negative Pressure Wound Therapy vs Open Technique for Pilonidal Disease	N/A
Not yet recruiting	`NCT06140199` - Comparing Minimally Invasive Treatments for Pilonidal Disease: LA POPA Trial (Laser And Pit-picking OR Pit-picking Alone)	N/A
Recruiting	`NCT06391307` - The Role of Mesenchymal Stem Cell and Exosome in Treating Pilonidal Sinus Disease in Children	N/A
Not yet recruiting	`NCT06286397` - Topical Anti-Androgens in Pilonidal Sinus Disease	Phase 2
Not yet recruiting	`NCT06406621` - Laser Hair Depilation Darker Skin Pilonidal Disease	N/A
Completed	`NCT03923621` - Pilonidal Excision Versus Endoscopic Surgery	N/A