Debridement and Laser Ablation Versus Debridement Alone in Pilonidal Disease

NCT ID: NCT05569135

Last Updated: 2022-10-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

121 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-01

Study Completion Date

2022-10-03

Brief Summary

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This study aims to investigate the effect of laser ablation (LA) in minimally invasive management of pilonidal disease (PD).

Data of the patients with PD who were eligible for simple debridement have been prospectively collected since March 2018, when laser ablation treatment came into use in our institution. Laser ablation treatment was offered to all eligible patients. All the patients underwent debridement (removal of hair and/or necrotic tissues through pits using a clamp/curette/brush) of PD; LA was added to the procedure in patients who were willing to have LA. The surgical outcome of two procedures was compared. The primary outcome measure was recurrence at 36 months.

Detailed Description

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Conditions

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Pilonidal Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Debridement only

Debridement of the pilonidal cyst through pits was performed in this group. After the removal of hair and necrotic tissues through pits, the surgical site was covered with a simple gauze dressing for 1 day. Patients were allowed to return to work and sit freely on the day of surgery.

No interventions assigned to this group

Debridiment with laser ablation

This group underwent the same procedure as the debridement group. After the removal of hair and necrotic tissues through pits, a diode laser at 1470 wavelength was inserted and the pilonidal cavity was ablated in a continuous fashion. The surgical site was covered with a simple gauze dressing for 1 day. Patients were allowed to return to work and sit freely on the day of surgery.

Laser ablation

Intervention Type DEVICE

A diode-laser that has been reported to be safe and effective in several treatments including pilonidal disease, anal fistula, hemorrhoids, and vascular ablation was used to obtain shrinkage of pilonidal cyst

Interventions

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Laser ablation

A diode-laser that has been reported to be safe and effective in several treatments including pilonidal disease, anal fistula, hemorrhoids, and vascular ablation was used to obtain shrinkage of pilonidal cyst

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with Class III, IV, and V pilonidal disease according to Tezel Navicular Area Classification
* Patients who underwent debridement for pilonidal disease

Exclusion Criteria

* Patients with acute abscess (Tezel Class II)
* Antibiotic use within 4 weeks before surgery
* Patients lost to follow-up at 3,7 and 30 days; 6, 12 and 36 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul Medipol University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Naciye Cigdem Arslan, MD

Role: PRINCIPAL_INVESTIGATOR

Medipol University

Locations

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Medipol Bahcelievler Hospital

Istanbul, Other (Non U.s.), Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007 Jul;9(6):575-6. doi: 10.1111/j.1463-1318.2007.01236.x. No abstract available.

Reference Type BACKGROUND
PMID: 17573759 (View on PubMed)

Other Identifiers

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E-10840098-772.02-2926

Identifier Type: -

Identifier Source: org_study_id

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