V Viciano, J E Castera, J Medrano, J Aguiló, J Torro, M G Botella, N Toldrá
{"title":"水胶体敷料对毛髓窦切除后二次愈合的影响。","authors":"V Viciano, J E Castera, J Medrano, J Aguiló, J Torro, M G Botella, N Toldrá","doi":"10.1080/110241500750009339","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the efficacy of hydrocolloid dressings in wound management after excision of pilonidal sinus.</p><p><strong>Design: </strong>Prospective randomised trial.</p><p><strong>Setting: </strong>District hospital, Spain.</p><p><strong>Patients: </strong>38 patients with chronic pilonidal sinus.</p><p><strong>Interventions: </strong>Open excision with healing by second intention. Divided into three groups: conventional gauze dressing (control, n = 15), Comfeel (n = 12) and Varihesive (n = 11).</p><p><strong>Main outcome measures: </strong>Median healing time, infection rate, intolerance, pain, comfort, ease of management, leakage, and recurrence.</p><p><strong>Results: </strong>Median healing time was 68 days (range 33-168) in the control group, compared with 65 days (range 40-137) in the two hydrocolloid groups combined. There were no differences between the hydrocolloid groups. There were no recurrences during the 74 months of follow-up. A third of the postoperative cultures in the control group grew pathogens compared with 1/23 of the patients treated with hydrocolloid dressings (p = 0.03). This was of no clinical relevance. 14/23 in the hydrocolloid group developed leaks. Pain was significantly less in the first four postoperative weeks among the patients in the hydrocolloid group than in the control group (p < 0.05).</p><p><strong>Conclusions: </strong>Hydrocolloid dressings lessen pain and increase comfort for patients after excision of pilonidal sinus, though time to healing is no shorten than when a conventional gauze dressing is used.</p>","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"166 3","pages":"229-32"},"PeriodicalIF":0.0000,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241500750009339","citationCount":"63","resultStr":"{\"title\":\"Effect of hydrocolloid dressings on healing by second intention after excision of pilonidal sinus.\",\"authors\":\"V Viciano, J E Castera, J Medrano, J Aguiló, J Torro, M G Botella, N Toldrá\",\"doi\":\"10.1080/110241500750009339\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the efficacy of hydrocolloid dressings in wound management after excision of pilonidal sinus.</p><p><strong>Design: </strong>Prospective randomised trial.</p><p><strong>Setting: </strong>District hospital, Spain.</p><p><strong>Patients: </strong>38 patients with chronic pilonidal sinus.</p><p><strong>Interventions: </strong>Open excision with healing by second intention. Divided into three groups: conventional gauze dressing (control, n = 15), Comfeel (n = 12) and Varihesive (n = 11).</p><p><strong>Main outcome measures: </strong>Median healing time, infection rate, intolerance, pain, comfort, ease of management, leakage, and recurrence.</p><p><strong>Results: </strong>Median healing time was 68 days (range 33-168) in the control group, compared with 65 days (range 40-137) in the two hydrocolloid groups combined. There were no differences between the hydrocolloid groups. There were no recurrences during the 74 months of follow-up. A third of the postoperative cultures in the control group grew pathogens compared with 1/23 of the patients treated with hydrocolloid dressings (p = 0.03). This was of no clinical relevance. 14/23 in the hydrocolloid group developed leaks. Pain was significantly less in the first four postoperative weeks among the patients in the hydrocolloid group than in the control group (p < 0.05).</p><p><strong>Conclusions: </strong>Hydrocolloid dressings lessen pain and increase comfort for patients after excision of pilonidal sinus, though time to healing is no shorten than when a conventional gauze dressing is used.</p>\",\"PeriodicalId\":22411,\"journal\":{\"name\":\"The European journal of surgery = Acta chirurgica\",\"volume\":\"166 3\",\"pages\":\"229-32\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2000-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/110241500750009339\",\"citationCount\":\"63\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The European journal of surgery = Acta chirurgica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/110241500750009339\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The European journal of surgery = Acta chirurgica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/110241500750009339","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Effect of hydrocolloid dressings on healing by second intention after excision of pilonidal sinus.
Objective: To assess the efficacy of hydrocolloid dressings in wound management after excision of pilonidal sinus.
Design: Prospective randomised trial.
Setting: District hospital, Spain.
Patients: 38 patients with chronic pilonidal sinus.
Interventions: Open excision with healing by second intention. Divided into three groups: conventional gauze dressing (control, n = 15), Comfeel (n = 12) and Varihesive (n = 11).
Main outcome measures: Median healing time, infection rate, intolerance, pain, comfort, ease of management, leakage, and recurrence.
Results: Median healing time was 68 days (range 33-168) in the control group, compared with 65 days (range 40-137) in the two hydrocolloid groups combined. There were no differences between the hydrocolloid groups. There were no recurrences during the 74 months of follow-up. A third of the postoperative cultures in the control group grew pathogens compared with 1/23 of the patients treated with hydrocolloid dressings (p = 0.03). This was of no clinical relevance. 14/23 in the hydrocolloid group developed leaks. Pain was significantly less in the first four postoperative weeks among the patients in the hydrocolloid group than in the control group (p < 0.05).
Conclusions: Hydrocolloid dressings lessen pain and increase comfort for patients after excision of pilonidal sinus, though time to healing is no shorten than when a conventional gauze dressing is used.