Comparison of Laser Destruction of Pilonidal Sinus Disease (SILAC) and Bascom II Procedure. (SI-BAS)
Pilonidal Disease
About this trial
This is an interventional treatment trial for Pilonidal Disease focused on measuring Bascom II, SiLaC, Sinus Laser Closer
Eligibility Criteria
Inclusion Criteria: Written informed consent Chronic primary or recurrent pilonidal sinus at the remission stage. Presence or absence of secondary orifices. Planned surgical treatment with excision of pilonidal sinus. Location of the orifices should not be less than 1 cm. Location of secondary orifices less 2 cm from the natal cleft. Distance between bilateral symmetrical positions of secondary orifices should not be more than 2 cm. Length of the sinus in the greatest dimension, according to the ultrasound of the soft tissue of the sacrococcygeal region, should not exceed 7 cm. Sinus diameter (width) in the greatest dimension should not exceed 3 cm, according to the ultrasound of the soft tissues of the sacrococcygeal region. Sinus must be located directly under the skin, according to the ultrasound findings. Lack of fixation of the cavity to the coccyx, when evaluating data on pelvic contrast-enhanced magnetic resonance imaging (MRI) ____ Non-inclusion criteria 1. Acute pilonidal sinus abscess 2. The secondary openings (orifice) position more than 3 cm from the midline. 3. Length of the cavity in the greatest dimension, according to the results of ultrasound examination, exceeds 6 cm 4. Width (diameter) of the sinus in the greatest dimension, according to the results of the ultrasound, more than 3 cm. 5. ASA > III. 6. Predictable impossibility of following the protocol 7. Pregnancy _____ Exclusion criteria 1. The patients lost for the follow-up 2. The patient's refusal to continue participate in the investigation. 3. Impossibility of the operation performing in the planned scope -
Sites / Locations
- Sechenov University
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Bascom II procedure
Sinus Laser Closer (SiLaC)
Pilonidal sinus is excised, subcutaneous fat and skin are closed in the lateralization with interrupted suture.
Pilonidal sinus is locally excised by dermopunch or scalpel, curettage of the sinus tract with laser destruction