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

• Authors: Tomasz Banasiewicz , Adam Bobkiewicz , Maciej Borejsza-Wysocki
• Languages of publication: EN

Abstracts

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.

Keywords

EN

pilonidal sinuses; vacuum assisted therapy; VAC

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 7
• Pages: 371-376

Dates

published

1 - 07 - 2013

online

13 - 08 - 2013

Contributors

author

Tomasz Banasiewicz

• Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews
• 60-355 Poznań, ul. Przybyszewskiego 49

author

Adam Bobkiewicz

• Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews

author

Maciej Borejsza-Wysocki

• Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews

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Identifiers

DOI

10.2478/pjs-2013-0056