Clinical trial · Observational
Effectiveness of Different Surgical Techniques for Curative Treatment of Pilonidal Sinus Disease in the Pediatric Population
Effectiveness of Different Surgical Techniques for Curative Treatment of Pilonidal Sinus Disease in the Pediatric Population: A 10-Year Single-Center Retrospective Comparative Cohort Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Pilonidal sinus disease (PSD) in children is associated with significant morbidity and recurrence risk. Multiple surgical techniques are used, including excision with open healing, primary midline closure, off-midline closure, flap reconstruction, and minimally invasive approaches. However, high-quality comparative data in pediatric populations are limited, and adult data cannot be directly extrapolated. This single-center retrospective cohort study aims to compare the effectiveness of different surgical techniques used for curative treatment of PSD in children treated at CHU Angers between January 1, 2015 and March 31, 2025. The primary endpoint is surgical failure at 2 months, defined as absence of complete wound healing or early recurrence. Secondary outcomes include postoperative complications, time to healing, pain outcomes, length of hospital stay, and recurrence at 1 year. Results are expected to help optimize institutional management strategies and contribute to pediatric-specific evidence.
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 |
|---|---|---|---|
| Sacrococcygeal Pilonidal Sinus | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Surgical treatment for pilonidal sinus disease, including various techniques including excision with or without primary closure, or endoscopic techniques. | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- label
- Wide excision with open healing
- description
- Intentional traditional treatment whitch consists in wide excision of the pilonidal sinus, and progressive healing of the wound thanks to daily dressing changes until complete closure is obtained.
- interventionNames
- Procedure: Surgical treatment for pilonidal sinus disease, including various techniques including excision with or without primary closure, or endoscopic techniques.
- label
- Wide excision with primary midline closure
- description
- Alternative technique using an immediate closure of the wound with layer of stiches, and regular dressings
- interventionNames
- Procedure: Surgical treatment for pilonidal sinus disease, including various techniques including excision with or without primary closure, or endoscopic techniques.
- label
- Wide excision with primary midline closure and negative pressure wound therapy
- description
- Alternative technique using an immediate closure of the wound with layer of stiches, completed with negative pressure therapy dressing, allowing for a fater recovery while requiring less dressing survey and changes.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 0 Years
- Maximum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Age \< 18 years at time of surgery * Surgical treatment for pilonidal sinus disease * Surgery performed between January 1, 2015 and March 31, 2025 * Managed at CHU Angers (Pediatric or Visceral Surgery departments) * ICD-10 diagnosis code L05.9 * CCAM procedure code QBFA007 Exclusion Criteria: * Emergency incision and drainage of acute pilonidal abscess (CCAM QBPA001) * Initial surgical management performed at another institution * Refusal of participation (patient and/or legal guardians, if applicable) * Alternative diagnosis (anal abscess, gluteal abscess)
References
Publications (0)
Data not yet available