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IRCT20230602058367N1 IRCT 2023-09-15 Tehran University of Medical Sciences results and complications of phenol injection in the treatment of patients with simple pilonidal sinus Evaluation of the results and complications of phenol injection in the treatment of patients with simple pilonidal sinus referred to Imam Khomeini Hospital in ۲۰۲۳ 2023-10-23 anticipated 20 Complete https://irct.ir/trial/71647 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment. 3 Pilonidal sinus. Among the patients with pilonidal sinus disease referred in 2023, people with a simple form of pilonidal sinus (with only a hole in the midline), without previous history of surgical treatment, will be selected as the inclusion criteria for the study.If there is a lateral extension (secreting hole on the outside of the midline) and an abscess, the patient will be excluded from the study (exclusion criteria).Among the selected people, different treatment methods will be explained. The advantages and disadvantages of using phenol will be explained, and if they are satisfied, the candidate will be treated with phenol crystal and will be included in the study.The required phenol crystal is provided through the Faculty of Pharmacy.After entering the study, on the day of surgery and after admitting the patient to the operating room, the patient lies in the prone position on the bed of the operating room. After exposing the surgical site and disinfecting the site with betadine (prep) and dropping them (drape), xylocaine/lidocaine anesthetic is injected. After obtaining the desired anesthesia, the surrounding area is lubricated with silver sulfadiazine or zinc oxide ointment (to protect the skin), probing is performed through the existing holes. After obtaining the size of the sinus by measuring the tip of the probe, the inside of the sinus is physically deepened by a curette and the material inside the sinus is removed. Then the phenol crystal will enter the sinus (the crystal will melt after contact with the body due to heat). After the effect of phenol, secretions and debris inside the sinuses will be removed. After finishing the work and cleaning the position, sterile dressing will be done.. Yes - There is a plan to make this available What will be shared: The result of the study When: After publication To whom: Students and faculty Conditions: Conduct additional research Where to obtain: executor of plan How to obtain: Email Comments:
public MohammadJavad Sheikhaboli
Imam Khomeini Hospital Complex, Tohid Squre, Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733141 +98 21 6119 2112 mjavadsh14@gmail.com Tehran University of Medical Sciences scientific Amir Keshvari
Imam Khomeini Hospital Complex, Tohid Squre, Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733141 +98 21 6119 keshvari@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) patients with a simple form of pilonidal sinus (only having a secretory pit in the mid- line) No previous history of surgical treatment no limit no limit Both The presence of lateral extention (secretion pit on the outside of the midline). presence of abscess L05.92 Pilonidal sinus without abscess Treatment - Surgery Among the patients with pilonidal sinus disease referred in 2023, people with a simple form of pilonidal sinus (with only a hole in the midline), without previous history of surgical treatment, will be selected as the inclusion criteria for the study.If there is a lateral extension (secreting hole on the outside of the midline) and an abscess, the patient will be excluded from the study (exclusion criteria).Among the selected people, different treatment methods will be explained. The advantages and disadvantages of using phenol will be explained, and if they are satisfied, the candidate will be treated with phenol crystal and will be included in the study.The required phenol crystal is provided through the Faculty of Pharmacy.After entering the study, on the day of surgery and after admitting the patient to the operating room, the patient lies in the prone position on the bed of the operating room. After exposing the surgical site and disinfecting the site with betadine (prep) and dropping them (drape), xylocaine/lidocaine anesthetic is injected. After obtaining the desired anesthesia, the surrounding area is lubricated with silver sulfadiazine or zinc oxide ointment (to protect the skin), probing is performed through the existing holes. After obtaining the size of the sinus by measuring the tip of the probe, the inside of the sinus is physically deepened by a curette and the material inside the sinus is removed. Then the phenol crystal will enter the sinus (the crystal will melt after contact with the body due to heat). After the effect of phenol, secretions and debris inside the sinuses will be removed. After finishing the work and cleaning the position, sterile dressing will be done. Pain,. Timepoint: Periods of 1, 2, 3, 6, 9 and 12 months. Method of measurement: Call or visit the clinic in person. Need to take painkillers. Timepoint: Periods of 1, 2, 3, 6, 9 and 12 months. Method of measurement: Call or visit the clinic in person. Discharge or infection. Timepoint: Periods of 1, 2, 3, 6, 9 and 12 months. Method of measurement: Call or visit the clinic in person. Rest period and time to return to normal activity. Timepoint: Periods of 1, 2, 3, 6, 9 and 12 months. Method of measurement: Call or visit the clinic in person. Need to take painkillers. Timepoint: Periods of 1, 2, 3, 6, 9 and 12 months. Method of measurement: Call or visit the clinic in person. Research and Technology Vice-Chancellor Approved 2022-10-18 Ethics Committee of Tehran University of Medical Sciences Dr. Gharib Street- At the end of Keshavarz Boulevard Tehran Tehran Iran (Islamic Republic of)