Comparing Four Surgical Treatments for Sacrococcygeal Pilonidal Sinus in Adolescents

What this Trial Is About

Researchers are evaluating four different surgical treatment options for sacrococcygeal pilonidal sinus disease in adolescents aged 12 to 18 years. This condition causes repeated infections and inflammation near the tailbone area, commonly affecting young adults and adolescents. The study aims to determine which surgical method is most effective and beneficial, and to better understand causes of recurrence and complications by conducting a prospective, randomized trial. The study compares four surgical methods crystallized phenol application, endoscopic sinus treatment EPSiT, Limberg flap surgery, and modified Limberg flap surgery. Each treatment involves cleaning and removing affected tissue using different techniques, with hospital stays varying from one to three days depending on the method. Treatments include antiseptic cleaning, curettage, phenol application, sinus irrigation, cauterization, and flap excision with drainage catheters. Participants will undergo evaluations including pain scoring within 24 hours and monitoring for complications within 30 days after treatment. Sinus volume measurements will also be taken at 24 hours. The study is randomized with single-blinding, and patient outcomes will be tracked closely to assess the benefits and risks of each surgical option. The total participation period involves immediate post-treatment assessments and short-term follow-up to monitor recovery and complications.

Pediatric Pilonidal Sinus Surgical Treatment