References

Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev.. 2010; 1 https://doi.org/10.1002/14651858.CD006213.pub3

Banasiewicz T, Bobkiewicz A, Borejsza-Wysocki M Portable VAC therapy improve the results of the treatment of the pilonidal sinus—randomized prospective study. Pol Przegl Chir.. 2013; 85:(7)371-376 https://doi.org/10.2478/pjs-2013-0056

Bendewald F, Cima R. Pilonidal disease. Clin Colon Rectal Surg.. 2007; 20:(2)086-095 https://doi.org/10.1055/s-2007-977486

Bendewald FP, Cima RR, Metcalf DR, Hassan I. Using negative pressure wound therapy following surgery for complex pilonidal disease: a case series. Ostomy Wound Manage. 2007; 53:(5)40-46

Cihan A, Ucan BH, Comert M, Cesur A, Cakmak GK, Tascilar O. Superiority of asymmetric modified Limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum.. 2006; 49:(2)244-49 https://doi.org/10.1007/s10350-005-0253-z

Darwish AMA, Hassanin A. Reconstruction following excision of sacrococcygeal pilonidal sinus with a perforator-based fasciocutaneous Limberg flap. J Plast Reconstr Aesthet Surg.. 2010; 63:(7)1176-1180 https://doi.org/10.1016/j.bjps.2009.05.051

de Bree E, Zoetmulder FAN, Christodoulakis M, Aleman BMP, Tsiftsis DD. Treatment of malignancy arising in pilonidal disease. Ann Surg Oncol.. 2001; 8:(1)60-64 https://doi.org/10.1007/s10434-001-0011-y

Dumville JC, Owens GL, Crosbie EJ, Peinemann F, Liu Z. Negative pressure wound therapy for treating surgical wounds healing by secondary intention. Cochrane Database Syst Rev.. 2015; 6 https://doi.org/10.1002/14651858.CD011278.pub2

Eryilmaz R, Sahin M, Alimoglu O, Dasiran F. Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap. Surgery. 2003; 134:745-749 https://doi.org/10.1016/S0039-6060(03)00163-6

Farrell D, Murphy S. Negative pressure wound therapy for recurrent pilonidal disease: a review of the literature. J Wound Ostomy Continence Nurs.. 2011; 38:(4)373-378 https://doi.org/10.1097/WON.0b013e31821e5117

Gencosmanoglu R, Inceoglu R. Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus: a prospective, randomized clinical trial with a complete two-year follow-up. int J. Colorectal Dis.. 2005; 2:415-422 https://doi.org/10.1007/s00384-004-0710-5

Kuckelman JP. Pilonidal disease. Dis Colon Rectum.. 2018; 61:(7)775-777 https://doi.org/10.1097/DCR.0000000000001121

Kundes MF, Cetin K, Kement M Does prophylactic antibiotic reduce surgical site infections after rhomboid excision and Limberg flap for pilonidal disease: a prospective randomized double blind study. Int J Colorectal Dis.. 2016; 31:(5)1089-1091 https://doi.org/10.1007/s00384-015-2425-1

Lamke LO, Larsson J, Nylén B. Treatment of pilonidal sinus by radical excision and reconstruction by rotation flap surgery of Z-plasty technique. Scand J Scand J Plast Reconstr Surg.. 1979; 13:(2)351-353

Lynch JB, Laing AJ, Regan PJ. Vacuum-assisted closure therapy: a new treatment option for recurrent pilonidal sinus disease. Report of three cases. Dis Colon Rectum.. 2004; 47:(6)929-932 https://doi.org/10.1007/s10350-004-0522-2

Michalopoulos N, Sapalidis K, Laskou S, Triantafyllou E, Raptou G, Kesisoglou I. Squamous cell carcinoma arising from chronic sacrococcygeal pilonidal disease: a case report. World J Surg Oncol.. 2017; 15:(1) https://doi.org/10.1186/s12957-017-1129-0

Pilonidal sinus disease. 2003. https://tinyurl.com/2zdkbd (accessed 11 March 2019)

Mu LH, Yan YP, Luan J, Fan F, Li SK. Anatomy study of superior and inferior gluteal artery perforator flap. Zhonghua Zheng Xing Wai Ke Za Zhi.. 2005; 21:(4)278-280

Neşşar G, Kayaalp C, Seven C. Elliptical rotation flap for pilonidal sinus. Am J Surg.. 2004; 187:(2)300-303 https://doi.org/10.1016/j.amjsurg.2003.11.012

Notaro JR. Management of recurrent pilonidal disease. Semin Colon Rectal Surg.. 2003; 14:(4)173-185 https://doi.org/10.1053/j.scrs.2004.03.002

Pandey MK, Gupta P, Khanna AK. Squamous cell carcinoma arising from pilonidal sinus. Int Wound J.. 2014; 11:(4)354-356 https://doi.org/10.1111/j.1742-481X.2012.01096.x

Schoeller T, Wechselberger G, Otto A, Papp C. Definite surgical treatment of complicated recurrent pilonidal disease with a modified fasciocutaneous V-Y advancement flap. Surgery. 1997; 121:258-263 https://doi.org/10.1016/S0039-6060(97)90354-8

Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis.. 1995; 10:(1)39-42 https://doi.org/10.1007/BF00337585

White TJ, Cronin A, Lo MF Don't sit on chronic inflammation. ANZ J Surg.. 2012; 82:(3)181-182 https://doi.org/10.1111/j.1445-2197.2011.05989.x

Negative pressure wound therapy for skin graft closure in complex pilonidal disease

28 March 2019
Case Report
02 March 2019
Volume 28 · Issue 6

Abstract

Pilonidal disease occurs in 26 in 100 000 people, affecting mainly men aged 20–30 years. It is treated by a variety of surgical techniques; however, there is a lack of consensus on the optimal choice of treatment for complex pilonidal disease. In addition, there is no consensus regarding care of the wound after surgery. Negative pressure wound therapy applied to open wounds following pilonidal disease surgery has been suggested as a way to decrease healing times and costs and is an emerging option for complex and or recurrent pilonidal disease. This study describes a case of complex pilonidal disease managed with local excision and negative pressure wound therapy followed by a split-thickness skin graft.

Pilonidal disease is a common surgical problem that was first described in 1833. The name derives from the Latin pilus (hair) and nidus (nest) (Miller et al, 2003).

Its incidence is estimated to be 26 cases per 100 000, with those affected being primarily men aged 20–30 years (Søndenaa et al, 1995; Al-Khamis et al, 2010). It is an acquired disease that originates in the hair follicles of the sacrococcygeal area (Farrell and Murphy, 2011). The disease is associated with local trauma, obesity, smoking, sedentary occupation and a hirsute body (Notaro, 2003). Obstruction of the hair follicles may cause abscess formation in the subcutaneous tissues, while entrapment of hair may cause a foreign body reaction, also leading to the formation of an acute abscess. These can both lead to complex disease characterised by chronic or recurrent infection with extensive, branching sinus tracts (Bendewald and Cima, 2007).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content

Register
Or continue by

Signing in with your registered email address

Pilonidal disease
Negative pressure wound therapy
Surgical wound care
Skin graft