The effect of negative pressure wound therapy after excision of a pilonidal sinus: a systematic review and meta-analysis
https://doi.org/10.17238/2072-3180-2024-4-221-227
Abstract
Introduction. Patients who have undergone surgery for a pilonidal cyst, in the majority, belong to a young, able-bodied category of the population, and it takes a long time for the wound to heal, which significantly affects the economic aspect of treatment and quality of life of patients. The use of negative pressure wound therapy (NPWT) after excision of the pilonidal cyst may shorten the duration of disability, decrease the length of postoperative hospital stay, reduce the cost of treatment, and ensuring the speedy return of patients to their usual lifestyle.
Materials and methods of research. The systematic review was conducted in accordance with PRISMA guidelines. The literature search was carried out in PubMed and eLibrary databases.
Results. The meta-analysis included 6 studies (151 patients who underwent negative pressure wound therapy after excision of the pilonidal cyst and 150 patients who underwent local conservative therapy). Statistically significant differences were found in the reduction of the time of wound healing after the pilonidal cyst excision. The wound healing time after excision was significantly lower (M = 15 days; p < .00001) in patients who received negative pressure wound therapy.
Conclusion. The use of negative pressure wound therapy in patients after pilonidal cyst excision reduces postoperative wound healing time.
About the Authors
I. N. Gorbunov
O.M. Filatov City Clinical Hospital No 15
Russian Federation
Russian Federation
Gorbunov Ilya Nikolaevich – colorectal surgeon,
111539, Veshnyakovskaya St., 23, Moscow
A. A. Balkarov
A.N. Ryzhikh National Medical Reserch Center of Coloproctology
Russian Federation
Russian Federation
Balkarov Artem Anatolyevich – Candidate of Medical Sciences, oncologist, researcher,
123423, st. Salyama Adilya, 2, Moscow
M. A. Egorkin
O.M. Filatov City Clinical Hospital No 15; A.N. Ryzhikh National Medical Reserch Center of Coloproctology
Russian Federation
Russian Federation
Mikhail Aleksandrovich Egorkin – Doctor of Medical Sciences, colorectal surgeon, senior researcher,
123423, st. Salyama Adilya, 2, Moscow
E. E. Bolkvadze
O.M. Filatov City Clinical Hospital No 15
Russian Federation
Russian Federation
Bolkvadze Eteri Enverovna – Doctor of Medical Sciences, colorectal surgeon, Head of the Coloproctology Department,
111539, Veshnyakovskaya St., 23, Moscow
E. G. Rybakov
A.N. Ryzhikh National Medical Reserch Center of Coloproctology
Russian Federation
Russian Federation
Rybakov Evgeny Gennadievich – Doctor of Medical Sciences, Professor of the Russian Academy of Sciences, oncologist, head of the oncoproctology department,
123423, st. Salyama Adilya, 2, Moscow
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Review
For citations:
Gorbunov I.N., Balkarov A.A., Egorkin M.A., Bolkvadze E.E., Rybakov E.G. The effect of negative pressure wound therapy after excision of a pilonidal sinus: a systematic review and meta-analysis. Moscow Surgical Journal. 2024;(4):221-227. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-221-227
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