Pilonidal disease is a particularly difficult disorder to treat. Guidelines and recommendations for the treatment of pilonidal disease neglects the use of negative pressure wound therapy (NPWT), but studies strongly support the role of NPWT in prevention of surgical site infection in high-risk groups.
During a webinar on the pilonidal disease, we asked 51 participants to complete a questionnaire about the treatment of pilonidal disease. They answered questions about the way they treat their patients with pilonidal disease, and about using NPWT.
The study showed that relatively large number of surgeons use NPWT to treat patients with pilonidal disease, the majority of them are satisfied at maintaining the tightness and effectiveness of a vacuum dressing and would use the single-use NPWT systems, if they was more available. It seems that the NPWT in the pilonidal disease is increasingly used and this method is gaining more and more popularity.