Clinical trial · Observational

Staging System for Chronic Symptomatic Pilonidal Sinus Disease

A Proposed Staging System for Chronic Symptomatic Pilonidal Sinus Disease and Results in Patients Treated With Stage-based Approach

NCT02712970CI-TRIAL-00021430completedClinicalTrials.gov clinicaltrialsPublishedExplore in graph →

Summary

Brief summary (as posted)

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.

Conditions

Conditions (1)

Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.

Condition (as posted)	Mapped entity	Match	Confidence
Pilonidal Sinus	—	UNRESOLVED	—

Interventions

Interventions (4)

Intervention	Type	Mapped drug	Match
Bascom Cleft Lift	Procedure	—	UNRESOLVED
Other flap techniques	Procedure	—	UNRESOLVED
pit-picking technique	Procedure	—	UNRESOLVED
Rhomboid excision with the Limberg Flap	Procedure	—	UNRESOLVED

Design

Arms and outcomes

Arms (5)

label
stage-I
description
Single pit in the midline, no lateral extension. Pit-picking technique will be performed.
interventionNames
1. Procedure: pit-picking technique
label
Stage-II
description
\>1 pits in the midline, no lateral extension. Pit-picking and Bascom cleft lift techniques will be performed.
interventionNames
1. Procedure: pit-picking technique
2. Procedure: Bascom Cleft Lift
label
Stage-III
description
Midline pit/pits plus lateral extension in one direction. Bascom cleft lift technique will be performed.
interventionNames
1. Procedure: Bascom Cleft Lift

Eligibility

Eligibility (as posted)

Sex: All
Minimum age: 18 Years

Show eligibility criteria text

Inclusion Criteria:

* Individuals with symptomatic pilonidal sinus disease.

Exclusion Criteria:

* \<18 y
* 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.

References

Publications (7)

BACKGROUNDGuner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J Surg. 2013 Sep;37(9):2074-80. doi: 10.1007/s00268-013-2111-9. PMID 23732258
BACKGROUNDGuner A, Ozkan OF, Kece C, Kesici S, Kucuktulu U. Modification of the Bascom cleft lift procedure for chronic pilonidal sinus: results in 141 patients. Colorectal Dis. 2013 Jul;15(7):e402-6. doi: 10.1111/codi.12243. PMID 23581906
BACKGROUNDBascom J, Bascom T. Utility of the cleft lift procedure in refractory pilonidal disease. Am J Surg. 2007 May;193(5):606-9; discussion 609. doi: 10.1016/j.amjsurg.2007.01.008. PMID 17434365
BACKGROUNDMentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M. Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg. 2008 Mar;393(2):185-9. doi: 10.1007/s00423-007-0227-9. Epub 2007 Sep 22. PMID 17899165
BACKGROUNDCan MF, Sevinc MM, Hancerliogullari O, Yilmaz M, Yagci G. Multicenter prospective randomized trial comparing modified Limberg flap transposition and Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease. Am J Surg. 2010 Sep;200(3):318-27. doi: 10.1016/j.amjsurg.2009.08.042. Epub 2010 Feb 1. PMID 20122682
BACKGROUNDKement M, Oncel M, Kurt N, Kaptanoglu L. Sinus excision for the treatment of limited chronic pilonidal disease: results after a medium-term follow-up. Dis Colon Rectum. 2006 Nov;49(11):1758-62. doi: 10.1007/s10350-006-0676-1. PMID 16990977
DERIVEDGuner A, Cekic AB, Boz A, Turkyilmaz S, Kucuktulu U. A proposed staging system for chronic symptomatic pilonidal sinus disease and results in patients treated with stage-based approach. BMC Surg. 2016 Apr 16;16:18. doi: 10.1186/s12893-016-0134-5.