Effectiveness of topical use of Lietofix® in wound healing after pilonidalis sinus excision: a multicenter study by the Italian Society of Colorectal Surgery (SICCR)
- 4 Downloads
Pilonidal sinus disease (PSD) is a common inflammation of the sacrococcygeal region (26 pts/100.000 people), mostly affecting younger age and males (a male/female ratio 2:1) . The disease can affect quality of life due to local pain or discomfort and be a significant cost to society due to absence from work before and even after therapy.
Open healing reduces the risk of recurrence by 35% when compared with any closed method . However, open healing is associated with postoperative pain and discomfort and weeks of wound care. Its management is not standardized . Wound dressings impregnated with antimicrobial agents (i.e. silver and alginates or gentamycin collagen sponge) and vacuum-assisted closure (VAC) have been used with controversial benefits. Topical application of hyaluronic acid derivatives and aloe vera have been proved effective in reducing postoperative pain and the burning sensation from surgical and chronic wounds and in accelerating the wound healing...
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The study was approved by the ethics committee of each center which participated in the trial.
All participants gave written informed consent.
- 2.Al-Khamis A, McCallum I, King PM, Bruce J (2010) Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 20:CD006213Google Scholar