Vacuum-Assisted Closure of a Complex Pilonidal Sinus

McGuinness, Jonathan; Winter, Desmond C.; O’Connell, P. R.

doi:10.1007/s10350-004-6535-z

Cited by 60 publications

(37 citation statements)

References 12 publications

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“…7 It has been successfully used to affix and secure split-thickness skin grafts to a variety of areas including the extremities for stasis ulcers and for burn site grafting. 8,9 The basis for this is not only the increase in granulation tissue and angiogenesis, but also the active removal of fluid from beneath the graft. 8 The VAC ® can be used in an ambulatory setting, allowing patients to leave the hospital earlier and maintaining functional status for activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

Vacuum-Assisted Closure of Complex Perineal Wounds

Schaffzin

Douglas²,

Stahl³

et al. 2004

Diseases of the Colon &Amp; Rectum

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The Vacuum-assisted Closure device decreases the time to wound healing, thus increasing the deposition of granulation tissue, and decreasing the use of wound care specialists. Perineal wounds present a special challenge. We present four cases of complex perineal wounds in which the Vacuum-assisted Closure device was used. In each case, wound care was simplified and healing accelerated. The Vacuum-assisted Closure device allows earlier wound closure, early skin grafting (with improved graft adherence), earlier hospital discharge, and earlier return to baseline functional status. Its use in the perineum presents a challenge, but with proper application, even the most complex perineal wounds can be healed.

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Section: Discussionmentioning

confidence: 99%

Vacuum-Assisted Closure of Complex Perineal Wounds

Schaffzin

Douglas²,

Stahl³

et al. 2004

Diseases of the Colon &Amp; Rectum

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“…Discussion about which treatment method is the best is still ongoing. As a result, there are many surgical and nonsurgical techniques which have been suggested for pilonidal sinus, and one of the non-surgical techniques is crystallized phenol application [12,14].…”

Section: Discussionmentioning

confidence: 99%

The Results of a One-Time Crystallized Phenol Application for Pilonidal Sinus Disease

Gırgın

Kanat

2012

Indian J Surg

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The aim of this study was to investigate the cure rate after a one-time phenol application for pilonidal sinus disease. Forty-eight patients diagnosed with pilonidal sinus from May 2006 to September 2009 were retrospectively reviewed. They were all managed under the same polyclinic conditions in different hospitals by the same surgeon under local anesthesia. Crystallized phenol was applied a total of 97 times on 48 patients. The median follow-up was 22 months (range, six to 38 months). Two patients (4 %) could not participate in the follow-up. One of these patients had 12 sinuses and didn't continue treatment after eight applications of phenol, and the other had nine sinuses and didn't continue treatment after five applications of phenol. The one-time application cure rate was 64.5 %, and the rate of success was 95 % with two or more applications. Recurrence did not occur during this period. A one-time phenol application is an effective treatment for pilonidal sinus disease. Hence, it can be an alternative to surgical treatment.

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“…While the condition is estimated to have an overall incidence of 26-700/100 000, it occurs more frequently in the young male population, with an incidence as high as to 8.8% among army recruits. [1][2][3] Despite numerous efforts to explain the main etiologic factors leading to the development of disease, none of these basic "causes" has changed the traditional treatment in which surgical intervention remains the cornerstone to achieve a permanent cure. Painstaking clearance, meticulous hair control, and regular shaving or depilation with topical agents may help prevent the development of disease in predisposed individuals and to better prepare the sacrococcygeal region for surgical intervention.…”

Section: Introductionmentioning

confidence: 99%