Comparing Three Minimally Invasive Treatments for Pilonidal Sinus Disease Pit Picking, Phenol Application, and Their Combination

What this Trial Is About

Pilonidal sinus disease PSD is a common condition that mainly affects young adults and causes significant work loss. This research aims to compare three treatment methods for chronic symptomatic PSD the minimally invasive pit-picking procedure, crystallized phenol application CPT, and a combined approach using both methods. The study seeks to evaluate the effectiveness, treatment success, postoperative complications, chronic pain levels, recurrence rates, and patient satisfaction for each method. The three treatment methods studied include pit picking, where midline pits are excised with minimal tissue removal and closed with sutures crystallized phenol application, involving cleaning the pit and filling it with phenol under local anesthesia and a combined treatment using pit picking followed by phenol application, leaving the area to heal naturally. Each method is minimally invasive and performed with the goal of improving healing time, reducing complications, and minimizing hospital stay. Participants will be followed for up to 12 months after treatment to measure treatment success, recurrence rates, and patient satisfaction, with postoperative complications and chronic pain monitored up to 3 months post-treatment. The study will also examine hospital stay length, wound healing time, and workforce loss. Assessments include clinical evaluations of healing and complications, and patient feedback on pain and satisfaction. The total participation period includes follow-up visits over one year to gather short- and long-term results.

Comparison of Pit Picking, Phenol and Combined Pit Picking and Phenol Applications in Pilonidal Sinus Treatment