Pilonidal sinus disease. Preliminary case-control study on heat-related wound dehiscence
| Autor: | Mascagni Domenico, Mascagni Pietro, Rosi Patrizia, Di Sipio Antonio, Pertile Riccardo, Inviati Angela, Di Giovanni Silvia, Frazzetta Giuseppe, Rizzo Salvatore Aldo, Turri Luciano |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Quality of life Blood loss Heat damage Pilonidal sinus disease Sinus pilonidalis Wound dehiscence. © 2019 The Authors Sinus disease Medicine Wound dehiscence Sinus (anatomy) Original Research business.industry Case-control study Diathermy General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Operative time 030211 gastroenterology & hepatology business |
| Zdroj: | Annals of Medicine and Surgery |
| Popis: | Background Pilonidal disease is a morbid condition of the young population, that could impair quality of life with a high cost for the health care system. No consensus exists on optimal surgical treatment, even if several techniques have been proposed. In this preliminary case-control study we compared excision by knife and diathermy to investigate if wound dehiscence could be related to heat spreading during excision of the sinus. Materials and method Between January 2017 and February 2018, 29 patients underwent to sinus excision.16 patients underwent sinus excision by diathermy (named “Hot” group, case-group) while 13 patients underwent excision by the knife as the control group (named “Cold” group). The temperature data were recorded for both groups. Were considered primary and secondary outcomes. Results the cold group has worse outcomes in operative time and blood loss, but better results in post-operative pain at first day and first control, number of weekly and total dressings until healing, time for full wound recovery, days to return to work, patient feeling feedback and scar aspect. Wounds healed within 8–12 days were 84.6% in the Cold group and 18.8% in the Hot one. I° Dindo-Clavien complications were respectively 15.4% and 100.0% for the Cold and Hot group. No differences were recorded for II° Dindo-Clavien complications and in days of hospitalization. Conclusion cold excision of the sinus pilonidalis has better results both in terms of precarious healing and quality of life, probably because the tissues are not subjected to diathermocoagulation damage and therefore the healing occurs more quickly. (United States National Institutes of Health, www.clinicaltrial.gov, number NCT 03764657, www.researchregistry.com UIN 5003). Highlights • Pilonidal sinus disease. • Cold and Hot surgical procedures. • Wounds healed within 8–12 days were 84.6% in the Cold group and 18.8% in the Hot one. I° Dindo-Clavien complications were 15.4% for the Cold and 100.0% for the Hot group. |
| Databáze: | OpenAIRE |
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