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

@article{Banasiewicz2013PortableVT,
  title={Portable VAC therapy improve the results of the treatment of the pilonidal sinus--randomized prospective study.},
  author={Tomasz Banasiewicz and Adam Bobkiewicz and Maciej Borejsza-Wysocki and Maciej Biczysko and A Ratajczak and Stanisław Malinger and Michał Drews},
  journal={Polski przeglad chirurgiczny},
  year={2013},
  volume={85 7},
  pages={
          371-6
        }
}
UNLABELLED 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 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… 
VACUUM THERAPY IN TREATMENT OF THE PILONIDAL SINUS DISEASE
TLDR
Management of postoperative wound by vacuum therapy in patients after surgery for PD improved results of treatment and there was no recurrence of the disease regardless wound management.
COMPARATIVE STUDY BETWEEN VACUUM ASSISTED OPEN EXCISIONS VERSUS OPEN ALONE IN TREATMENT OF COMPLICATED
TLDR
The use of vacuum assisted closure (VAC) therapy in cases of pilonidal disease has its advantageous effect in decreasing complications and accelerating healing.
Pilonidal Cyst Excision: Primary Midline Closure with versus without Closed Incision Negative Pressure Therapy
TLDR
Results supported the incorporation of closed incision negative pressure therapy into the surgical treatment protocol for pilonidal cysts by supporting the duration of hospitalization, pain on the day of surgical procedure, and on postoperative day 7.
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TLDR
The study showed that a relatively large number of surgeons use NPWT to treat patients with the pilonidal disease, and this method is gaining popularity among practitioners.
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TLDR
A 28 year old woman with a history of acne inversa of Hurley grade 2 for 6 years is presented, who underwent surgical excision of the skin of the left inguinum followed by negative pressure therapy dressings for 2 and a half weeks and formed a well accepted scar.
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TLDR
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.
Negative Pressure Wound Therapy (NPWT) in Breast Surgery
TLDR
The current evidence supports the notion that NPWT systems are beneficial in enhancing the healing of complicated breast wounds, however, larger studies exploring the effectiveness of this technique would be of interest to breast surgeons.
Negative pressure wound therapy following excision of pilonidal sinus disease: A retrospective review
TLDR
Outcomes in patients with PSD treated by a standardised technique of complete surgical excision followed by the application of negative pressure wound therapy are evaluated.
Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention.
TLDR
Evidence for the effects of negative pressure wound therapy (NPWT) for reducing SSI and wound dehiscence remains unclear, as does the effect of NPWT on time to complete healing.
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TLDR
In the authors' opinion, VAC therapy used for the treatment of postoperative wounds with multiple fistulas in the wound area and other sites should aim mainly at the improvement of patients’ general condition, limitation of the number of fistulas as well as accelerated wound healing.
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TLDR
Advantages of ambulatory plain lateral excision and primary repair include immediate treatment, minimal pain and a quick return to normal activities in the treatment of uncomplicated pilonidal sinuses.
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TLDR
Positive pressure wound therapy was used for an average of 6 weeks and mean time to complete epithelialization was 12 weeks, including use of moist saline dressings post negative pressure wound Therapy, which was discontinued in one patient due to skin irritation.
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TLDR
To the knowledge, this is the first report in the literature describing the use of vacuum-assisted closure therapy for pilonidal disease and this therapy is proposed as an alternative adjunctive treatment for pil onidal disease.
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TLDR
The deep intergluteal sulcus and midline gap were slightly flattened over the anococcygeal region, and the vacuum effect was decreased, and there were less macerations and fewer infections.
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TLDR
It is suggested that modified lay-open is superior to excision with primary closure for the surgical treatment of chronic sacrococcygeal pilonidal sinus with regard to morbidity and recurrence rates, and time before return to work, although healing time is longer.
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TLDR
For large recurrent pilonidal sinuses, radical excision and primary suturing of the wound using a rotation flap is recommended as the method of choice.
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