Vacuum-assisted closure of a complex pilonidal sinus
The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have been described for managing simple cases. Treatment options for complex pilonidal sinus include excision with healing by secondary intention or...
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Published in | Diseases of the colon & rectum Vol. 46; no. 2; pp. 274 - 276 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Secaucus, NJ
Springer
01.02.2003
Lippincott Williams & Wilkins Ovid Technologies |
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Abstract | The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have been described for managing simple cases. Treatment options for complex pilonidal sinus include excision with healing by secondary intention or plastic surgical procedures to obliterate the defect. Recently, vacuum-assisted closure has been used by plastic surgeons to facilitate healing of chronic or complicated wounds with particular success in treating pressure wounds overlying the sacrum.
A patient with a complex pilonidal sinus was managed with excision and vacuum-assisted closure.
A large tissue defect after radical excision healed relatively quickly when the subatmospheric pressure dressing was applied. The patient was discharged with the vacuum pump and change of dressings for alternate days.
Vacuum-assisted closure of a complex pilonidal sinus shortened the length of hospital stay and the need for further surgery and provided a cosmetically acceptable result. |
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AbstractList | INTRODUCTIONThe annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have been described for managing simple cases. Treatment options for complex pilonidal sinus include excision with healing by secondary intention or plastic surgical procedures to obliterate the defect. Recently, vacuum-assisted closure has been used by plastic surgeons to facilitate healing of chronic or complicated wounds with particular success in treating pressure wounds overlying the sacrum.METHODSA patient with a complex pilonidal sinus was managed with excision and vacuum-assisted closure.RESULTSA large tissue defect after radical excision healed relatively quickly when the subatmospheric pressure dressing was applied. The patient was discharged with the vacuum pump and change of dressings for alternate days.CONCLUSIONVacuum-assisted closure of a complex pilonidal sinus shortened the length of hospital stay and the need for further surgery and provided a cosmetically acceptable result. The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have been described for managing simple cases. Treatment options for complex pilonidal sinus include excision with healing by secondary intention or plastic surgical procedures to obliterate the defect. Recently, vacuum-assisted closure has been used by plastic surgeons to facilitate healing of chronic or complicated wounds with particular success in treating pressure wounds overlying the sacrum. A patient with a complex pilonidal sinus was managed with excision and vacuum-assisted closure. A large tissue defect after radical excision healed relatively quickly when the subatmospheric pressure dressing was applied. The patient was discharged with the vacuum pump and change of dressings for alternate days. Vacuum-assisted closure of a complex pilonidal sinus shortened the length of hospital stay and the need for further surgery and provided a cosmetically acceptable result. INTRODUCTION: The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have been described for managing simple cases. Treatment options for complex pilonidal sinus include excision with healing by secondary intention or plastic surgical procedures to obliterate the defect. Recently, vacuum-assisted closure has been used by plastic surgeons to facilitate healing of chronic or complicated wounds with particular success in treating pressure wounds overlying the sacrum. METHODS: A patient with a complex pilonidal sinus was managed with excision and vacuum-assisted closure. RESULTS: A large tissue defect after radical excision healed relatively quickly when the subatmospheric pressure dressing was applied. The patient was discharged with the vacuum pump and change of dressings for alternate days. CONCLUSION: Vacuum-assisted closure of a complex pilonidal sinus shortened the length of hospital stay and the need for further surgery and provided a cosmetically acceptable result. |
Author | O'CONNEL, P. Ronan WINTER, Desmond C MCGUINNESS, Jonathan G |
Author_xml | – sequence: 1 givenname: Jonathan G surname: MCGUINNESS fullname: MCGUINNESS, Jonathan G organization: Department of Surgery, University College Dublin, Mater Misericordiae Hospital, Dublin, Ireland – sequence: 2 givenname: Desmond C surname: WINTER fullname: WINTER, Desmond C organization: Department of Surgery, University College Dublin, Mater Misericordiae Hospital, Dublin, Ireland – sequence: 3 givenname: P. Ronan surname: O'CONNEL fullname: O'CONNEL, P. Ronan organization: Department of Surgery, University College Dublin, Mater Misericordiae Hospital, Dublin, Ireland |
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Snippet | The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different approaches have... INTRODUCTION: The annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different... INTRODUCTIONThe annual incidence of pilonidal sinus is approximately 26 per 100,000, of which complex pilonidal sinuses are the minority. Many different... |
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SubjectTerms | Adult Biological and medical sciences Humans Male Medical sciences Occlusive Dressings Pilonidal Sinus - surgery Postoperative Care - methods Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Vacuum Wound Healing |
Title | Vacuum-assisted closure of a complex pilonidal sinus |
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