The effects of a sacrococcygeal pilonidal sinus wound on activities of living: thematic analysis of participant interviews

Stewart, Ann; Baker, Jacqueline; Elliott, Doug

doi:10.1111/j.1365-2702.2011.03806.x

Cited by 22 publications

(15 citation statements)

References 37 publications

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“…Insufficiently This study does not attempt null hypothesis significance testing using quantitative data, and is reasonably large by qualitative research standards [27], the largest yet conducted in people with pilonidal sinus [7,19]. The sample is satisfactory for the application of existing theory to empirical data [33].…”

Section: Discussion and Con Clus Ionsmentioning

confidence: 99%

Patient decision‐making and regret in pilonidal sinus surgery: a mixed‐methods study

et al. 2021

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Section: Discussion and Con Clus Ionsmentioning

confidence: 99%

Patient decision‐making and regret in pilonidal sinus surgery: a mixed‐methods study

et al. 2021

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“…However no one of these techniques seems to be without postoperative complications as pain, recurrence rates, wound infection and delayed healing. One of the worst aspect in pilonidalis disease management regards exactly wound evolution in post operative time, because a primary closure with a proper healing between 7 and 10 days is the desirable and normal course, but a problem in wound healing should because of weighty morbidity, annoying and limiting consequences on activities of daily living, forcing the patients to several outpatient access and medication until 30–40 days; this clearly could became a stressing situation [13,14]. Secondary intention pilonidalis wound healing, may requires a very long laps of time, from 2 to 6 months or even up to 1–2 years, to return to normality and this traduces in several and repeated medical dressing with patients and hospital burdensomeness [15,16].…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

Frazzetta

Silvia

Patrizia³

et al. 2019

Annals of Medicine and Surgery

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BackgroundPilonidal 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 methodBetween 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.Resultsthe 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.Conclusioncold 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).

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“…Bei der offenen Wundbehandlung spielt die pflegerische Betreuung eine wichtige Rolle [310,448,461]. Wichtig erscheint eine individuelle Versorgung und ausreichende Schmerztherapie.…”

Section: Postoperative Wundversorgungunclassified

S3-Leitlinie: Sinus pilonidalis. 2. revidierte Fassung 2020

2020

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Beteiligte Fachgesellschaften Deutsche Gesellschaft für Koloproktologie (DGK); federführend Deutsche Gesellschaft für Allgemein-und Viszeralchirurgie (DGAV) Chirurgische Arbeitsgemeinschaft für Coloproktologie (CACP) Berufsverband der Coloproktologen Deutschlands (BCD) Deutsche Gesellschaft für Gastroenterologie, Verdauungs-und Stoffwechselkrankheiten (DGVS) Deutsche Dermatologische Gesellschaft (DDG) 1. Einleitung und Definition Der Pilonidalsinus oder Sinus pilonidalis (pilus = Haar, nidus = Nest) ist eine akut oder chronisch verlaufende Entzündung im subkutanen Fettgewebe, überwiegend im Bereich der Steißbeinregion.

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The effects of a sacrococcygeal pilonidal sinus wound on activities of living: thematic analysis of participant interviews

Abstract: Individualised care will help in reducing discomfort and improving life experiences following surgery. Patients who are prepared for the postoperative recovery at home, have adequate analgesia and do not experience delayed wound healing are more likely to manage activities of living.

Cited by 22 publications

References 37 publications

Patient decision‐making and regret in pilonidal sinus surgery: a mixed‐methods study

Patient decision‐making and regret in pilonidal sinus surgery: a mixed‐methods study

Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

S3-Leitlinie: Sinus pilonidalis. 2. revidierte Fassung 2020

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