Vacuum-assisted closure therapy: a new treatment option for recurrent pilonidal sinus disease. Report of three cases.

Abstract

No single treatment option available for symptomatic pilonidal disease is entirely satisfactory. In our department, we have treated successfully three cases of pilonidal disease with vacuum-assisted closure therapy. We describe our initial experience with this technique. In two cases, the pilonidal sinus was primarily excised, a split skin graft applied to cover the defect, and the vacuum-assisted closure pump applied over the skin graft for a period of four days on a continuous negative pressure of 50 mmHg. The third case was treated and completely healed with vacuum-assisted closure therapy alone. To our knowledge, this is the first report in the literature describing the use of vacuum-assisted closure therapy for this condition. We propose this therapy as an alternative adjunctive treatment for pilonidal disease.

• Authors: Jenny B Lynch, Alan J Laing, Padraic J Regan
• Journal: Diseases of the colon and rectum (Dis Colon Rectum) Vol. 47 Issue 6 Pg. 929-32 (Jun 2004) ISSN: 0012-3706 [Print] United States
• PMID: 15129309 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Humans
• Male
• Pilonidal Sinus (surgery, therapy)
• Recurrence
• Skin Transplantation
• Suction (methods)
• Surgical Procedures, Operative (adverse effects, methods)
• Surgical Wound Infection (etiology, therapy)
• Treatment Outcome
• Vacuum
• Wound Healing