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Pilonidal sinus: healing rates, pain and embarrassment levels
A Stewart1, J Donoghue, S Mitten-Lewis
1Community Nursing Southcare, Sutherland Hospital, Sydney, Australia. Ann.Stewart@sesiahs.health.nsw.gov.au
Journal of Wound Care
|November 4, 2008
Summary
Pilonidal sinus surgery healing rates show 60% of patients achieved wound closure within 12 weeks. Factors influencing the remaining 40% of unhealed wounds require further investigation.
Area of Science:
- Surgical outcomes
- Wound healing research
Background:
- Pilonidal sinus disease often requires surgical excision.
- Postoperative wound management is crucial for patient recovery.
Purpose of the Study:
- To evaluate healing rates in patients after pilonidal sinus excision.
- To assess wound hygiene, dressing choices, antibiotic use, pain, and embarrassment.
Main Methods:
- Prospective descriptive study of 55 patients over three months.
- Digital wound imaging and validated questionnaires were used for data collection.
Main Results:
- Sixty percent of wounds closed within 12 weeks.
- No significant correlation found between dressing type, wound size, or antibiotic use and healing.
- Saline gauze dressings caused the most pain; embarrassment levels were low and decreased.
Conclusions:
- Unmeasured factors likely contributed to delayed healing in 40% of patients.
- Further research is needed to identify these factors influencing pilonidal sinus wound healing.
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