Single centre randomised study to discover whether fibrin glue is more effective than surgery in the treatment of pilonidal sinus

ISRCTN ISRCTN56652573
DOI https://doi.org/10.1186/ISRCTN56652573
Secondary identifying numbers N0077161769
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
28/03/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr J Lund
Scientific

Derby Hospitals NHS Foundation Trust
Department of Surgery
University of Nottingham Medical school at Derby
Derby City General Hospital
Derby
DE22 3DT
United Kingdom

Phone +44 01332 340131 Ext. 5548
Email jon.lund@nottingham.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study objectivesTo determine the effectiveness of fibrin glue in the treatment of pilonidal sinus, as compared to standard surgical techniques.
Ethics approval(s)Added Deptember 2008: Nottingham One Ethics Research Committee (UK).
Health condition(s) or problem(s) studiedSkin and Connective Tissue Diseases: Pilonidal sinus
InterventionRandomised Controlled Trial. Patients that present with pilondial sinus at outpatient clinic will be invited to participate in the study. Forty patients will be recruited. Having given informed consent, patients will be randomised into two groups and the second group will be the control group. The treatment group will be prepared for surgery as routine. Under a general anaesthetic the openings of the sinus. The pits will then be injected with fibrin glue (Tisseel, Baxter Healthcare Ltd, Newbury, UK). One to be mls of glue will be injected. A simple non-woven dressing will be applied. No antibiotic prophylaxis will be given. Patients will be discharged from hospital after the procedure. Six months after the procedure patients will be contacted by telephone and complications or recurrences will be recorded. They will be given a linear analogue pain score to complete daily for the week following their procedure. This will record the patients pain and also the time taken to return back to normal activities. The patients in the control group will be managed as above, but instead of being treated with fibrin glue they will receive standard surgery.
Intervention typeOther
Primary outcome measure1. Reduction in Pain
2. Healing rate.
Secondary outcome measuresAdded September 2008:
Recurrence, infection, return to work and cost.
Overall study start date30/03/2005
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants40
Key inclusion criteriaPatients with pilonidal sinus under the care of Consultant Surgeons within the Derby NHS Foundation Trust will be identified from GP referral letters to surgical outpatients. Patients will be approached on visiting outpatients. Patients will be given both verbal and written information to enable them to make an informed decision as to whether to proceed. Patients have the right to withdraw at any stage.

Inclusion criteria:
1. Male and Female subjects with pilonidal sinus
2. Patients > 18 years old
3. Only women taking adequate contraceptive precautions
4. Patients with no history of allergy to any of the product contents of Tisseel Kit sealant.
5. Ability to provide valid informed consent.
6. Patients who have no objections on moral/religious grounds to the product (Tisseel contains human fibrin and Aprotinin from cattle)
Key exclusion criteria1. Women who are lactating
2. Women who are pregnant
3. Women of childbearing age who are unwilling to take adequate contraceptive precautions
4. Patients with allergic diathesis or patients who have had previous exposure to aprotinin
Date of first enrolment30/03/2005
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Derby Hospitals NHS Foundation Trust
Derby
DE22 3DT
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

Derby Hospitals NHS Foundation Trust (UK), NHS R&D Support Funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article pilot study results 01/05/2005 Yes No