Negative pressure wound therapy following excision of pilonidal sinus disease: A retrospective review
| Autor: | Hanna Feizal, Enda Hannan, Sean Martin, Tim Harding |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Retrospective review Wound Healing Standardised technique business.industry Pilonidal abscess medicine.medical_treatment Gastroenterology Context (language use) Surgery Pilonidal Sinus nervous system Recurrence Negative-pressure wound therapy Sinus disease medicine Humans In patient Neoplasm Recurrence Local business Negative-Pressure Wound Therapy Cohort study Retrospective Studies |
| Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and IrelandREFERENCES. 23(11) |
| ISSN: | 1463-1318 |
| Popis: | Aim There is no agreed definitive surgical treatment for pilonidal sinus disease (PSD) with several techniques in use with varying success. Negative pressure wound therapy (NPWT) is used to accelerate wound healing but literature in the context of PSD remains sparse. The aim of this study was to evaluate outcomes in patients with PSD treated by a standardised technique of complete surgical excision followed by the application of NPWT. Methods A retrospective observational cohort study of all patients with PSD managed by complete surgical excision followed by application of NPWT was performed over a five year period. The primary endpoints were PSD recurrence and failed wound healing. Results Sixty one patients underwent treatment during the study period. There was 100% compliance with NPWT. All patients' wounds healed successfully, with the median time to healing being 28 days. One patient (1.6%) developed recurrent PSD and required further surgery. Two patients (3.3%) developed postoperative wound infections. Five patients who had been managed previously by other operative approaches and subsequently developed recurrence were successfully managed by this technique. Most patients (52.4%) were managed as a day case procedure. Conclusion Surgery for PSD should have low recurrence rates, prompt wound healing, minimal complications, short inpatient lengths of stay and be tolerated by the patient. Our results demonstrate that our technique meets these criteria. To our knowledge, this study contains the largest number of patients with PSD managed by excision and NPWT in the literature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text