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A Comparison of Three Dressing Methods for Pilonidal Sinus Surgery Wound Healing

Sadati, Leila MScN, BScN; Froozesh, Robab MScN, BScN; Beyrami, Alireza MSc; Khaneghah, Zahra Nouri MSc; Elahi, Seyed Ahmad MD; Asl, Mohammad Faryab MSc; Salehi, Tannaz MSc

Advances in Skin & Wound Care: July 2019 - Volume 32 - Issue 7 - p 1–5
doi: 10.1097/01.ASW.0000558268.59745.d2

OBJECTIVE To evaluate the effect of different dressing methods on the wound healing process after pilonidal sinus surgery.

METHODS In this clinical trial, 60 patients undergoing pilonidal sinus surgery were randomly assigned to one of three groups. In the first group, hydrogel or alginate and hydrocolloid compounds were used as a standard occlusive dressing method. A modified dressing method was used for the second group, in which transparent hydrocolloid films were replaced by Vaseline gauze. The third group was treated using gauze swabs soaked in normal saline. The length and depth of the studied wounds were recorded once a week for a month. During dressing changes, patient pain was recorded using an 11-point numeric rating scale. The collected data were analyzed by descriptive and inferential statistical methods.

RESULTS There was a significant reduction in wound length after 2 weeks in all three groups (P < .05), and the pain experienced by the first and second groups was significantly lower than the third group. However, the modified method used for the second group was associated with a lower cost.

CONCLUSIONS Considering the beneficial results of using modern dressings for wound healing and reducing the severity of associated pain, providers may want to consider using modified wound dressings after pilonidal sinus surgery. Study authors recommend that providers receive training on how to use these products.

At the Alborz University of Medical Sciences, in Karaj, Iran, Leila Sadati, MScN, BScN, is a faculty member, Paramedic School; Robab Froozesh, MScN, BScN, is a Neonatal Intensive Care Nurse, Paramedic School; Zahra Nouri Khaneghah, MSc, is a faculty member, Paramedic School; and Seyed Ahmad Elahi, MD, is faculty member, Department of General Surgery, School of Medicine. At the Iran University of Medical Sciences in Tehran, Iran, Alireza Beyrami, MSc, and Mohammad Faryab Asl, MSc, are Operating Room Technologists, Faculty of Allied Medicine. Tannaz Salehi, MSc, is a Master’s Student of Medical Physiology, Faculty of Medicine, Tehran University of Medical Sciences.

Acknowledgments: The authors thank the patients who participated in this study as well as the Shahid Bahonar and Shahid Madani Hospitals for their cooperation and financial support of this research. This article was funded by the Alborz University of Medical Sciences in Karaj, Iran.

The authors have disclosed no other financial relationships related to this article.

Submitted July 22, 2018; accepted in revised form September 13, 2018.

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