Surgical Approach for Pilonidal Disease

Study Overview
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Brief Summary
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In our hospital, between January 2013 and January 2017, those operated with the Modified Limberg flap method after the Rhomboid excision due to pilonidal disease, and those operated with the un-roofing curettage method will be screened retrospectively. Patients will be divided into two groups as Un-roofing curettage group (UC group) and the Modified Limberg Flap group (LF group). Operation time, hospital stay time, return to work time, recovery time, Time to walk without pain, days, Time to sit on the toilet without pain, days, Postoperative VAS and recurrence will be compared between both groups

Detailed Description
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In our hospital, between January 2013 and January 2017, those operated with the Modified Limberg flap method after the Rhomboid excision due to pilonidal disease, and those operated with the un-roofing curettage method will be screened retrospectively. Patients who are well followed up will be included in the study. Demographic features will be recorded. Patients will be divided into two groups, the un-roofing curettage group (UC group) and the Modified Limberg Flap group (LF group). Surgery time, hospital stay, return to work time, recovery time, painless walking time, days, painless sitting time in the toilet, days, postoperative VAS, and recurrence will be compared between both groups. In addition, mobilization time, days, recovery time, days, exclusion time, days, wound infection, wound distribution will be compared between groups. The results will be analyzed with the SPSS statistics program. Factors affecting recurrence wound infection, recovery time, hospital stay, operation time, early mobilization will be evaluated by univariate and multivariate logistic regression analysis.

Official Title
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Unroofing Curettage Versus Modified Limberg Flap in Pilonidal Disease: A Retrospective Cohort Study

Conditions
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Pilonidal Disease

Intervention / Treatment
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* Procedure: Un-roofing curettage method
* Procedure: Modified Limberg Flap Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients between the ages of 18 and 70 Patients with sufficient registration information Telephone-accessible patients Exclusion Criteria: Patients under the age of 18 Patients over 70 years old Common gluteal disease Diabetes mellitus Connective tissue disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| UC Group<br>Patients operated on the un-roofing curettage method in the treatment of pilonidal disease will be analyzed in this group. | Procedure: Un-roofing curettage method<br>* In this method, the roof of the pilonidal cyst is opened, and the inside is cleaned, and curettage is performed. The wound is closed with a dressing after hemostasis.<br>|
| LF Group<br>Patients who have been operated with the modified Limberg flap method after rhomboid excision in the treatment of pilonidal disease will be analyzed in this group. | Procedure: Modified Limberg Flap Group<br>* In this method, the pilonidal cyst is excised with a rhomboid incision and closed with the modified Limberg flap method.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mobilization Time,Days | Time to return to the daily activities of the patients were measured. | 15 days | 
| Number of Participants With Recurring Disease | It has been reported in the literature that a five or ten year follow-up period is required for the effective evaluation of recurrence. In both groups, the number of recurrent patients during the follow-up period will be determined. Observation of the following findings on physical examination made a diagnosis of recurrence; New sinus orifice formation, Or discharge from the sinus orifice | Number of Participants with Recurring Disease, up to five years | 
| Operation Time | Mean operation time was determined in minutes in both groups. | operation time, up to 100 minutes | 
| Hospitalization Time | In both groups, hospitalization will be determined as a day. | Hospitalization time, up to 15 days |