The Use of Negative-Pressure Wound Therapy in Pilonidal Sinus Disease

2014 ◽  
Vol 57 (12) ◽  
pp. 1406-1411 ◽  
Author(s):  
L. Ulas Biter ◽  
Guyon M. N. Beck ◽  
Guido H. H. Mannaerts ◽  
Myrte M. Stok ◽  
Arie C. van der Ham ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Pilonidal Sinus Disease ◽  
Wound Therapy ◽  
Sinus Disease

799 Negative Pressure Wound Therapy Following Excision of Pilonidal Sinus Disease: A Retrospective Review

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Harding
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Excision ◽  
Pilonidal Sinus Disease ◽  
Wound Therapy ◽  
Sinus Disease ◽  
Complete Surgical Excision ◽  
Number Of Patients

Abstract Background Pilonidal sinus disease (PSD) is a common condition that can have a detrimental impact on patient quality of life. Definitive surgical management for PSD is challenging and remains a contentious issue. Primary closure is associated with a high recurrence rate, while healing by secondary intention comes with slow healing and burdensome wound care. Negative pressure wound therapy (NPWT) is widely used to accelerate healing. Aim To evaluate outcomes in patients with PSD treated by a standardised technique of complete surgical excision followed by the application of NPWT. Method A retrospective observational cohort study of all patients with PSD managed by complete surgical excision followed by application of NPWT was performed over a 5-year period. Results 41 patients underwent excision of PSD with application of NPWT during the observation period. All patients’ wounds healed successfully with NPWT. Only one patient (2.4%) developed recurrent PSD and required further surgery. Discussion The ideal surgery for PSD should have a low recurrence rate. Our results demonstrate that our technique of complete surgical excision followed by application of NPWT meets all these criteria. To our knowledge, this study contains the largest number of patients with PSD managed by excision and NPWT in the literature.

scholarly journals Combination of Side-Swing Flap With Negative-Pressure Wound Therapy Is Superior to Open Excision or Flap Alone in Children With Pilonidal Sinus—But at What Cost?

2021 ◽  
Vol 9 ◽  
Author(s):  
Deborah Dorth ◽  
Ingo Königs ◽  
Julia Elrod ◽  
Tarik Ghadban ◽  
Konrad Reinshagen ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Healing Time ◽  
Hybrid Technique ◽  
Patient Counseling ◽  
Wound Therapy ◽  
The Right ◽  
Open Excision

Background: Pilonidal sinus (PS) disease frequently occurs in adolescents and young adults, and in many cases involves wide excision or local flaps as treatment. These treatments are associated with a significant recurrence rate, a long healing time, and thus absence from school or work. The hybrid technique, which is a combination of side-swing plasty with negative-pressure wound therapy (NPWT) may improve these outcomes. The aim of the study was to compare the latter with other current methods.Methods: Children presenting with a pilonidal sinus to two referral centers for pediatric surgery from January 2017 till June 2019 and subsequent (1) slide-swing plasty, (2) open excision, or (3) slide-swing plasty in combination with NPWT were included in this retrospective study. Type of therapy, number of interventions, duration of hospitalization, complications, and recurrence rate were recorded. In addition, data was retrieved from the national diagnosis-related group for inpatient statistics, for all patients who underwent surgery for pilonidal sinus in 2015 and 2016.Results: In total, 85 children were included, with a mean age of 15 years and a near equal gender distribution (53% female). The minimum follow-up was 1 year. In 56% open resection was performed, while 18% underwent a slide-swing plasty and 26% a slide-swing plasty in combination with NPWT. While the hybrid technique was superior regarding recurrence rate in comparison to open excision (24 vs. 5%, p = 0.047), it had significantly longer hospital stay [17.41 (15.63) vs. 3.65 (1.68) days, p < 0.001] and number of interventions [4.14 (4.07) vs. 1.04 (0.29), p < 0.001].Conclusions: Management of PS disease using slide-swing plasty in combination with NPWT is an effective treatment and is associated with low recurrence rate and minimal morbidity. However, this type of treatment is accompanied by an elongated hospitalization time and more frequent interventions. A diligent case by case evaluation and thorough patient counseling is thus necessary when choosing the right technique for the treatment of PS disease.

Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
O Grauhan ◽  
A Navasardyan ◽  
M Hofmann ◽  
P Müller ◽  
J Stein ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Obese Patients ◽  
Wound Infections ◽  
Wound Therapy

Experience of negative pressure wound therapy over sternal wound healing: A retrospective review

WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 9-18
Author(s):  
Wai Sze Ho ◽  
Wai Kuen Lee ◽  
Ka Kay Chan ◽  
Choi Ching Fong
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Assessment Tool ◽  
Wound Care ◽  
Wound Therapy ◽  
Treatment Pathways ◽  
Wound Assessment ◽  
One Year

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

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