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Pilonidal dermoid cyst surgery under general anesthesia and regional anesthesia techniques is used.regional anesthesia techniques; spinal, epidural, spinal epidural (combined) and is the local anesthesia.In the investigators study, pilonidal dermoid cyst surgery in spinal and epidural anesthesia techniques activity, reliability will be compared to the side effects and complications.
One hundred patients will be randomly assigned to either the pilonidal dermoid cyst under Spinal anaesthesia (50 patients)(Group 1) or pilonidal dermoid cyst under epidural anaesthesia (50 patients)(Group 2). Group 1 will be used in spinal catheter in spinal anesthesia procedures or Group 2 will be used epidural catheter in epidural anaesthesia procedures.All patients has symptomatic pilonidal dermoid cyst.
Pilonidal dermoid is a tubular skin defect which can be seen in both female and male patients between the ages of 12 to 80. Treatment alternatives includes surgical excision. During the surgical treatment local, general, spinal or epidural anesthesia could be applied. However, local anesthesia usually is not preferred due to the fact that pilonidal dermoid sinuses depth, width could not be determined precisely. General anesthesia also is not preferred due to the fact that difficulties arising from patient's positioning and positioning based potential lung related problems. In general, spinal anesthesia and epidural anesthesia is preferred for pilonidal dermoid sinus surgeries. In this study, the investigators will demonstrate advantages, disadvantages, complications, (sensory and motor block levels), and durations of spinal and epidural anesthesia and superiority of each on these subjects.
Patients who are over 18 and have a America Society of Anesthesiologist (ASA) physical score of I and II will be included in the study. Patients who are pregnant, have a known allergic reactions to local anesthetic and have contraindications against spinal and epidural anesthetic will be excluded from the study.
In this study the investigators separate the patients into 2 groups. Group1: pilonidal dermoid cyst under Spinal anaesthesia (50 patients).Group 1 will be used in spinal catheter in spinal anesthesia procedures ; Group2:pilonidal dermoid cyst under epidural anaesthesia (50 patient).Group 2 will be used epidural catheter in epidural anaesthesia procedures. All patients has symptomatic pilonidal dermoid cyst
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 | Active Comparator | Pilonidal dermoid cyst surgery in Spinal anaesthesia |
|
| group 2 | Active Comparator | Pilonidal dermoid cyst surgery in Epidural anaesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| epidural catheter | Procedure | epidural anaesthesia application for spinal catheter will be used |
| |
| Measure | Description | Time Frame |
|---|---|---|
| sensory block duration(time:hour) | group1 and group 2 | up to 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of operation(time:hour) | group1 and group 2 | up to 2 hours |
| Headache | group 1 and group 2(participants) | from end of the operation to postoperative 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Turgut Donmez, Surgeon | Contact | 905347400967 | surgeont73@hotmail.com | |
| Vuslat Muslu Erdem, anesthetist | Contact | 905326354139 | vuslatmuslu@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Turgut Donmez, Surgeon | Lutfiye Nuri Burat Goverment Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lutfiye NBGH | Recruiting | Istanbul | 34300 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19461565 | Background | Muslu B, Usta B, Muslu S, Yesilay A, Gozdemir M, Sert H, Demircioglu R. Effect of locally administered lornoxicam in the management of low back pain after lumbar epidural anesthesia: a double-blind, randomized, controlled study. Minerva Anestesiol. 2009 Sep;75(9):494-7. Epub 2009 May 21. | |
| 25844132 | Background |
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| ID | Term |
|---|---|
| D005402 | Fistula |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| spinal catheter |
| Procedure |
spinal anesthesia application for spinal catheter will be used |
|
| Nausea/Vomiting | group 1 and group 2(participants) | from end of the operation to postoperative 1 day |
| Urinary Retention | group 1 and group 2 (participants) | from end of the operation to postoperative 1 day |
| Orhon ZN, Koltka EN, Devrim S, Tufekci S, Dogru S, Celik M. Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine. Korean J Anesthesiol. 2015 Apr;68(2):141-7. doi: 10.4097/kjae.2015.68.2.141. Epub 2015 Mar 30. |