Effects of the Nanova™ Therapy System in Unroofing-Curettage and Secondary Intention Healing of Pilonidal Abscesses
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2017, Vol 27, Issue 3
Abstract
Aim: Although treatment methods have been well-established for asymptomatic, chronic fistulizing, and recurrent forms of pilonidal sinus disease, there is no consensus on when definitive treatment should be performed in patients with abscesses. In this study, we aimed to present non-powered negative-pressure wound dressing used to facilitate healing in patients with pilonidal abscesses who underwent unroofing-curettage. Method: The data of five patients who presented to our clinics between June-December 2015 with pilonidal abscesses and underwent unroofingcurettage and secondary healing with non-powered negative-pressure wound dressing were included in the study. The patients’ age, sex, duration of treatment, complications, and recurrence rates were analyzed. Unroofing-curettage was performed after drainage under local anesthesia. The wound was dressed using the “Nanova™ Therapy System”, applying the first 3 treatments every 48 hours, followed by the next applications once every 72 hours. Results: Since the number of cases was small, the patients were examined one by one. The mean age of the patients was 33 years (28-38 years) and all patients were male. There was no previous history of pilonidal sinus in the patients’ medical histories. Wound dressing was applied 3 times to one patient, 4 times to three patients, and 5 times to one patient (average, 4). Only one patient developed hemorrhage as a complication. Mean recovery time was 22.2±6.26 (16-32) days. The mean follow-up period was 20.8±3.34 (16-24) months and no recurrence was detected during this period. Conclusion: In our study, we used negative-pressure wound dressing by means of a non-powered hand pump. Since the number of patients was small, a statistical comparison was not possible. However, we found that vacuum-assisted dressing shortens the healing period compared to previous studies in patients whose wounds were left to heal by secondary intention.
Authors and Affiliations
Burhan Hakan Kanat, Mustafa Girgin, Yavuz Selim İlhan, Ali Aksu
Keywords
Related Articles
- EP ID EP274085
- DOI 10.4274/tjcd.48992
- Views 96
- Downloads 0
Evaluation of Etiological Risk Factors in the Development of Adult Chronic Pilonidal Disease
Aim: Pilonidal disease has a high rate of recurrence after surgical interventions and measures that can be taken to prevent the recurrence are gaining importance. This study was planned to review the possible risk factor...
Colonoscopy Findings in Patients Who Have Positive Fecal Occult Blood Test for Colorectal Cancer Screening
Aim: To determine the rate of colonoscopies performed in patients referred for colonoscopy due to positive fecal occult blood test in colorectal cancer screening, and the rates of cancer, polyps, and other colorectal dis...
Comparison of Laparoscopic Embedding Technique and Other Techniques for Appendiceal Stump Closure
Aim: Acute appendicitis is the most common surgical emergency worldwide. Laparoscopic appendectomyis widely used in acute appendicitis. In our study, we aimed to investigate the efficacy and safety of laparoscopic embedd...
Laparoscopic or Robotic Rectal Cancer Surgery: Where are We Right Now?
Paradigms in rectal cancer surgery have shifted toward minimally invasive techniques in conjunction with the use of chemoradiation. Although laparoscopy is widely used for rectal tumors, debate continues as to whether it...
Effects of Calcium Dobesilate on Colonic Anastomosis Healing: An Experimental Study
Aim: Anastomotic leakage in colon anastomosis (CA) increases morbidity and mortality. Calcium dobesilate (CaD) has angioprotective, antioxidant, lymphatic flow enhancing-and neuroprotective effects. Despite these capilla...