Comparison of Simple Puncture Versus Incision for Abscess Treatment in Pilonidal Sinus Disease

What this Trial Is About

Pilonidal disease involves abscesses in the area between the buttocks and is commonly treated by making an incision to drain the abscess, followed by daily care until healing, which typically takes about 21 days. This research evaluates two approaches to managing pilonidal abscesses before definitive surgery: the traditional incision method and a newer puncture technique combined with antibiotics. The study aims to compare healing times, costs, quality of care, support duration, and work stoppage length between these methods. The trial is a single-center, open-label, randomized study comparing puncture/aspiration using a 16 gauge needle under local anesthesia with antibiotic coverage, against standard incision of the abscess performed under general or local anesthesia. After initial treatment, patients are reviewed 15 days later, with further care or surgery planned 4 to 6 weeks after the abscess has flattened. The incision group receives daily nursing care at home until healing, while the puncture group may require additional intervention if symptoms persist. Participants will undergo regular assessments including healing time before surgery, effectiveness of procedures, nursing care duration, work stoppage length, quality of life surveys, and healing after definitive surgery. Follow-ups occur up to 10 months post-treatment to monitor outcomes. The study includes visits at 15 days post-procedure and plans for definitive surgery after healing, with ongoing evaluation of symptoms and recovery progress throughout the participation period.

Comparison of the Effectiveness of the Simple Puncture Compared to the Incision of an Abscess on the PiLOnidal Sinus