Banasiewicz Tomasz, Bobkiewicz Adam, Borejsza-Wysocki Maciej, Biczysko Maciej, Ratajczak Andrzej, Malinger Stanisław, Drews Michał
Pol Przegl Chir. 2013 Jul;85(7):371-6. doi: 10.2478/pjs-2013-0056.
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.
To analyze the results of VAC therapy in the treatment of pilonidal sinuses.
After randomization in the control group (9 men) the simple excision of the pilonidal cyst was performed with the standard wound dressing. In the VAC group (10 men) the same surgical procedure was performed, but after the excision the VAC dressing with mobile VAC Freedom device was used. Both groups were treated in an outpatient setting under local anesthesia. The wound size, time of surgery, time of wound healing time of recovery and pain after the surgery (VAS score) were compared.
In VAC treated group the wound size and time of surgery were similar to control group. Time of wound healing, recovery and the pain after surgery in days 4-7 were reduced in comparison to the standard treated group.
VAC therapy can be easily used in an outpatient setting, mobile device is highly accepted, operation of the equipment is simple. VAC therapy significantly decreases the time of wound healing and absenteeism from work as well as the postoperative late pain.
文献中描述了多种治疗藏毛窦的方法，但仍存在争议且缺乏标准化。负压封闭引流（VAC）疗法对窦切除术后的伤口愈合有潜在益处。
分析VAC疗法治疗藏毛窦的效果。
将患者随机分为对照组（9名男性），采用标准伤口敷料对藏毛囊肿进行单纯切除。VAC组（10名男性）进行相同的手术操作，但切除后使用带有可移动VAC Freedom装置的VAC敷料。两组均在门诊局部麻醉下进行治疗。比较两组的伤口大小、手术时间、伤口愈合时间、恢复时间以及术后疼痛（视觉模拟评分法[VAS]评分）。
VAC治疗组的伤口大小和手术时间与对照组相似。与标准治疗组相比，VAC治疗组的伤口愈合时间、恢复时间以及术后第4至7天的疼痛均有所减少。
VAC疗法可在门诊轻松应用，可移动设备广受认可，设备操作简单。VAC疗法显著缩短了伤口愈合时间和缺勤时间，以及术后晚期疼痛。
