Journal Plastic Surgery and Cosmetology

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

The role of VAC-therapy in accelerating the wound healing in patients after surgical treatment of the pilonidal desease

Objective: Analyze of wound repair in patients with pilonidal disease with open wound management and stimulation of healing by VAC-therapy.

Methods: Study includes 75 patients who underwent open surgical treatment. Men were 59 (78.7%), women – 16 (21,3%). Patients were divided into main group (n=40), which after excision was carried out original vacuum therapy and control (n=35), with excision and open wound treatment by standart dressings. Clinical characteristics, cytological and planimetric parameters of healing were evaluated.

Results: In main group, during the first week of treatment, a decrease in inflammation was observed and by the second week – granulation tissue formation resulted in purification and epithelization of wound and by the third week of VAC-therapy were noted optimum conditions for wound contraction and scar tissue formation. At cytological examination, from the 8 day after the VAC-therapy, inflammatory response decreased in 33 (82.5%) patients, from 12 days in 13 (32.5%) patients’ regenerative cytological pattern was determined. To 16 days in 24 (60.0%) observations of main group the wound regenerative processes were noted and in control one, inflammatory-regenerative cytograms prevailed – 21 (60.0%). In compared groups, it was found that average healing and wound area reduction rate for the first 16 days of treatment was significantly 2,7 times higher in main group.

Conclusions: Using VAC-therapy in postoperative wounds with open treatment of pilonidal disease promotes acceleration of healing and improves results of treatment in comparison using standard dressings.

Special Features

Full Text


Track Your Manuscript

Media Partners