Limberg-flap: Prospective Data Collection

NCT ID: NCT00672555

Last Updated: 2011-06-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2009-09-30

Brief Summary

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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.

Detailed Description

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1. Patients, that come to our clinic with problems caused by a pilonidal sinus are informed about the different treatment options of the illness.

* If the patient suffers of a recurrence of the illness, a complete excision, followed by a covering of the defect with a Limberg-flap is recommended.
* If the patient has the first time problems by a pilonidal sinus, we recommend an open limited excision of the fistulas.
* In cases with acute infected situation, we first conduct a very limited incision/excision and treat them with antibiotics. The treatments mentioned before are in such cases offered 3 to 4 Weeks after the fist little operation.
2. All Patients, that wish their pilonidal sinus treated with a complete excision followed by a covering of the defect with a Limberg-flap, are asked if they are willing to participate in the observational study.
3. Patients, who gave their informed consent for the operation and the study are included.
4. Preoperative data are recorded.
5. The patients are operated on and intraoperative data (e.g. how big was the flap) are recorded.
6. After 3 Weeks the patients are checked and complications, happiness and duration of the time off work are recorded.
7. After a year the patients are contacted by sending them a postal questionnaire, which they send back to us. Additionally the are contacted by phone. Recurrence, other complications and their opinion concerning the treatment and its consequences are recorded.

Conditions

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Pilonidal Sinus

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pilonidal Sinus T. With Limberg F.

All patients treated by excision and covering of the defect by a Limberg-flap, who gave their informed consent to participate in the study, as there is only one study group.

Group Type EXPERIMENTAL

Limberg-flap

Intervention Type PROCEDURE

Complete excision of the pilonidal sinus and covering of the defect by a Limberg-flap from one buttock

Interventions

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Limberg-flap

Complete excision of the pilonidal sinus and covering of the defect by a Limberg-flap from one buttock

Intervention Type PROCEDURE

Other Intervention Names

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Romboid-flap

Eligibility Criteria

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Inclusion Criteria

* Recurrence or persistence of a pilonidal sinus
* Elective Limberg-flap operation
* Written informed consent of the patient for the operation and participation of the study

Exclusion Criteria

* Doubts of the capability of the patient to understand the study or to decide.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cantonal Hospital of St. Gallen

OTHER

Sponsor Role lead

Responsible Party

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Cantonal Hospital of St. Gallen

Principal Investigators

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Lukas Marti, M D

Role: PRINCIPAL_INVESTIGATOR

Department of surgery, Cantonal hospital of St. Gallen

Franc H Hetzer, M D

Role: STUDY_CHAIR

Department of surgery, Cantonal hospital of St. Gallen

Locations

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Department of sugery, Cantonal hospital of St. Gallen

Rorschach, Canton of St. Gallen, Switzerland

Site Status

Department of surgery, Cantonal hospital of St. Gallen

Sankt Gallen, Canton of St. Gallen, Switzerland

Site Status

Countries

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Switzerland

References

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Kapp T, Zadnikar M, Hahnloser D, Soll Ch, Hetzer FH. [New concept in the treatment of the pilonidal sinus]. Praxis (Bern 1994). 2007 Aug 2;96(31-32):1171-6. doi: 10.1024/1661-8157.96.31.1171. German.

Reference Type BACKGROUND
PMID: 17726856 (View on PubMed)

Dunker MS, Stiggelbout AM, van Hogezand RA, Ringers J, Griffioen G, Bemelman WA. Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease. Surg Endosc. 1998 Nov;12(11):1334-40. doi: 10.1007/s004649900851.

Reference Type BACKGROUND
PMID: 9788857 (View on PubMed)

Muller K, Marti L, Tarantino I, Jayne DG, Wolff K, Hetzer FH. Prospective analysis of cosmesis, morbidity, and patient satisfaction following Limberg flap for the treatment of sacrococcygeal pilonidal sinus. Dis Colon Rectum. 2011 Apr;54(4):487-94. doi: 10.1007/DCR.0b013e3182051d96.

Reference Type RESULT
PMID: 21383571 (View on PubMed)

Other Identifiers

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EKSG 07/050/2B

Identifier Type: -

Identifier Source: org_study_id

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