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2013 | 85 | 7 | 371-376
Tytuł artykułu

Portable VAC therapy improve the results of the treatment of the pilonidal sinus – randomized prospective study

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Multiple therapeutic approaches of the treatment of pilonidal sinuses have been described in the literature, but there are still controversies and lack of standardization. Vacuum Assisted Closure (VAC) therapy has potential beneficial effect on the wound healing after the sinus resection. The aim of the study was to analyze the results of VAC therapy in the treatment of pilonidal sinuses. Material and methods. After randomization in the control group (9 men) the simple excision of the pilonidal cyst was performed with the standard wound dressing. In the VAC group (10 men) the same surgical procedure was performed, but after the excision the VAC dressing with mobile VAC Freedom device was used. Both groups were treated in an outpatient setting under local anesthesia. The wound size, time of surgery, time of wound healing time of recovery and pain after the surgery (VAS score) were compared. Results. In VAC treated group the wound size and time of surgery were similar to control group. Time of wound healing, recovery and the pain after surgery in days 4-7 were reduced in comparison to the standard treated group. Conclusions. VAC therapy can be easily used in an outpatient setting, mobile device is highly accepted, operation of the equipment is simple. VAC therapy significantly decreases the time of wound healing and absenteeism from work as well as the postoperative late pain.
Słowa kluczowe
Wydawca

Rocznik
Tom
85
Numer
7
Strony
371-376
Opis fizyczny
Daty
wydano
2013-07-01
online
2013-08-13
Twórcy
  • Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews, tbanasiewicz@op.pl
  • 60-355 Poznań, ul. Przybyszewskiego 49
  • Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews
  • Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews
Bibliografia
  • 1. Goodall P: The aetiology and treatment of pilonidal sinus. A review of 163 patients. Br J Surg 1961; 49: 212-18.
  • 2. Gencosmanoglu R, Inceoglu R: Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus: a prospective, randomized clinical trial with a complete two-year follow-up. Int J Colorectal Dis 2005; 2: 415-22.
  • 3. Eryilmaz R, Sahin M, Alimoglu O, Dasiran F: Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap. Surgery 2003; 134: 745-49.
  • 4. Cihan A, Ucan BH, Comert M et al.: Superiority of asymmetric modified Limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum 2006; 49: 244-49.[Crossref]
  • 5. Schoeller T, Wechselberger G, Otto A, Papp C: Definite surgical treatment of complicated recurrent pilonidal disease with a modified fasciocutaneous V-Y advancement flap. Surgery 1997; 121: 258-63.
  • 6. Lamke LO , Larsson J, Nylen B: Treatment of pilonidal sinus by radical excision and reconstruction by rotation flap surgery of Z-plasty technique. Scand J Plast Reconstr Surg 1979; 13: 351-53.
  • 7. Maghsoudi H, Nezami N, Ghamari AA : Ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture. Can J Surg 2011; 54(2): 78-82.[PubMed][WoS][Crossref]
  • 8. McCallum IJ, King PM, Bruce J: Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and metaanalysis. BMJ 2008 19; 336(7649): 868-71. Epub 2008 Apr 7.[WoS]
  • 9. Bendewald FP, Cima RR , Metcalf DR , HassanI: Using negative pressure wound therapy following surgery for complex pilonidal disease: a case series. Ostomy Wound Manage. 2007; 53(5): 40-46.[PubMed]
  • 10. Lynch JB, Laing AJ, Regan PJ: Vacuumassisted closure therapy: a new treatment option for recurrent pilonidal sinus disease. Report of three cases. Dis Colon Rectum 2004; 47(6): 929-32. Epub 2004 May 4.[Crossref]
  • 11. Banasiewicz T, Borejsza-Wysocki M, Meissner W et al.: Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas. Wideochir Inne Tech MałoInwazyjne 2011; 6(3): 155-63.
  • 12. Fraccalvieri M, Sarno A, Gasperini S et al.: Can ‚single use negative pressure wound therapy’ be an alternative method to manage keloid scarring? A preliminary report of a clinical and ultrasound/ colour-power-doppler study. Int Wound J 2012. doi: 10.1111/j.1742-481X.2012.00988.x.[WoS][Crossref]
  • 13. Awad MMS, Amr Abd Elbaset, Samir Ebraheem et al.: A scoring system as a method to evaluate pilonidal sinus disease to make an easy decision for its management. Indian J Plast Surg 2009; 42(1): 43-48.
  • 14. Chiummariello S, Guarro G, Pica A, Alfano C: Evaluation of negative pressure vacuum-assisted system in acute and chronic wounds closure: our experience. G Chir 2012; 33(10): 358-62.[PubMed]
  • 15. Karatepe O, Eken I, Acet E et al.: Vacuum assisted closure improves the quality of life in patients with diabetic foot. Acta Chir Belg 2011; 111(5): 298-302.
  • 16. Fang R, Dorlac WC, Flaherty SF et al.: Feasibility of negative pressure wound therapy during intercontinental aeromedical evacuation of combat casualties. J Trauma 2010 Jul; 69 Suppl 1:S140-5. doi: 10.1097/TA.0b013e3181e452a2.[WoS][Crossref]
  • 17. Moreau I, Ripoche S: Pilonidal sinus and Vac Therapy. Soins 2008; (728): 27-30.
  • 18. Bütter A, Emran M, Al-Jazaeri A, Ouimet A: Vacuum-assisted closure for wound management in the pediatric population. J Pediatr Surg 2006; 41(5): 940-42.[Crossref][PubMed]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0056
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