Comparing Karydakis Flap, Primary Closure, and Bascoms Pit-Pick Surgery for Treating Pilonidal Sinus in Women

What this Trial Is About

Researchers are evaluating surgical treatments for pilonidal sinus disease in women, focusing on comparing the Karydakis flap method and Bascoms pit-pick procedure. The study aims to assess differences in recurrence, complications, and aesthetic outcomes, especially in female patients with three or fewer pits. This is a single-center, prospective observational trial following each patient for 12 months after surgery. The Bascom pit-pick procedure is a minimally invasive surgery performed under local anesthesia, involving the removal of affected pits and infected tissue with suturing of midline wounds and secondary pits, while some incisions heal naturally. The Karydakis procedure and primary closure involve more extensive surgical excision and flap creation under spinal or general anesthesia, with specific techniques to close the wound and use of drains for recovery. Participants will be monitored for recurrence at 12 months, with additional assessments of complication rates at 30 days, healing time up to 12 weeks, functional recovery up to 24 weeks, and aesthetic outcomes using a pain visual analog score over one year. The study includes preoperative preparation, postoperative follow-ups, and evaluation of patient satisfaction and recovery progress under ethical committee approval.

Outcomes of Karydakis, Primary Closure, and Pit Picking Methods in the Treatment of Pilonidal Sinus: A Prospective Study in Women