Actively Recruiting

Phase Not Applicable
Age: 8Months - 30Years
All Genders
ID07417202

Intraoperative Wound Irrigation for Pilonidal Disease: A Randomized Controlled Trial

Led by Stanford University · Updated on 2026-05-26

72

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This clinical trial focuses on patients with Stage 3 pilonidal disease, a condition affecting the skin near the tailbone. Researchers are comparing two wound cleaning solutions used during surgery to find out which one helps wounds heal faster. The study is randomized and double-blinded to ensure unbiased results and aims to determine the best wound irrigation method for future patients. Participants will be randomly assigned to have their surgical wounds cleaned with either hypochlorous acid solution (Vashe) or the standard saline solution during excision surgery. All other surgical steps remain the same for both groups. After surgery, wound healing progress will be closely monitored with scheduled photographs and clinical assessments. Participants will submit wound photographs on specific postoperative days and then weekly until the wound closes, allowing researchers to track healing time and any complications. Follow-up clinic visits will occur every three months for two years to monitor for disease recurrence. The main measure is the time from surgery to wound closure, with recurrence rates also recorded over the long term.

CONDITIONS

Brief Title

Intraoperative Wound Irrigation for Pilonidal Disease

Who Can Participate

Age: 8Months - 30Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Stage 3 pilonidal disease according to the Stanford Pilonidal Severity Staging System
Not Eligible

You will not qualify if you...

  • Patients with pilonidal disease that is not classified as stage 3
  • Intellectual disability precluding the patient and/or guardian from being able to consent

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) at the Pediatric General Surgery Clinic

Surgery

Duration - 1 day

Participants undergo surgery to excise Stage 3 pilonidal disease, during which the surgical wound is irrigated with either hypochlorous acid solution or normal saline according to randomization.

Surgery day visit (in-person)

Post-operative Follow-up

Duration - Approximately 2 weeks or until wound closure

Participants send photographs of the surgical site on postoperative days 0, 2, 5, 7, 10, and 14 (± 1 day), then weekly until the wound closes. Study staff review images to monitor wound healing and complications.

Multiple remote photograph submissions plus wound closure monitoring

Long-term Monitoring

Duration - 2 years

Participants attend clinic visits every 3 months for 2 years after surgery to assess for recurrence of pilonidal disease at the surgical site.

Clinic visits every 3 months for 2 years (in-person)

Trial Site Locations

Total: 1 location

1

Lucile Packard Children's Hospital - Stanford

Palo Alto, California, United States, 94304

Actively Recruiting

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Research Team

E

Elena Harnish, MA

E

Elton Ortiz, MS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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