Published in:
01-06-2004 | Case Report
Vacuum-Assisted Closure Therapy: A New Treatment Option for Recurrent Pilonidal Sinus Disease. Report of Three Cases
Authors:
Jenny B. Lynch, A.F.R.C.S.I., Alan J. Laing, A.F.R.C.S.I., Padraic J. Regan, F.R.C.S. Plast.
Published in:
Diseases of the Colon & Rectum
|
Issue 6/2004
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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.