{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T04:04:42Z","timestamp":1792814682580,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T00:00:00Z","timestamp":1631404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>There is no agreed definitive surgical treatment for pilonidal sinus disease (PSD) with several techniques in use with varying success. Negative pressure wound therapy (NPWT) is used to accelerate wound healing but literature in the context of PSD remains sparse. The aim of this study was to evaluate outcomes in patients with PSD treated by a standardised technique of complete surgical excision followed by the application of NPWT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational cohort study of all patients with PSD managed by complete surgical excision followed by application of NPWT was performed over a five year period. The primary endpoints were PSD recurrence and failed wound healing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010one patients underwent treatment during the study period. There was 100% compliance with NPWT. All patients\u2019 wounds healed successfully, with the median time to healing being 28\u00a0days. One patient (1.6%) developed recurrent PSD and required further surgery. Two patients (3.3%) developed postoperative wound infections. Five patients, who had been managed previously by other operative approaches and subsequently developed recurrence, were successfully managed by this technique. Most patients (52.4%) were managed as a day case procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surgery for PSD should have low recurrence rates, prompt wound healing, minimal complications, short inpatient lengths of stay and be tolerated by the patient. Our results demonstrate that our technique meets these criteria. To our knowledge, this study contains the largest number of patients with PSD managed by excision and NPWT in the literature.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15890","type":"journal-article","created":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T17:30:41Z","timestamp":1630258241000},"page":"2961-2966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Negative pressure wound therapy following excision of pilonidal sinus disease: A retrospective review"],"prefix":"10.1111","volume":"23","author":[{"given":"Enda","family":"Hannan","sequence":"first","affiliation":[{"name":"St Michael\u2019s Hospital Dublin Ireland"},{"name":"St Vincent\u2019s University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Harding","sequence":"additional","affiliation":[{"name":"St Michael\u2019s Hospital Dublin Ireland"},{"name":"St Vincent\u2019s University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"Feizal","sequence":"additional","affiliation":[{"name":"St Vincent\u2019s University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Martin","sequence":"additional","affiliation":[{"name":"St Michael\u2019s Hospital Dublin Ireland"},{"name":"St Vincent\u2019s University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31829d2616"},{"issue":"3","key":"e_1_2_11_3_1","first-page":"47","article-title":"A retrospective study of pilonidal sinus healing by secondary intention using negative pressure wound therapy versus alginate or gauze dressings","volume":"63","author":"Danne J","year":"2017","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00337585"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.11.31473"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3182051d96"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2018.03.009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770203"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.14712\/23362936.2019.2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13042"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-010-0532-0"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39517.808160.BE"},{"issue":"1","key":"e_1_2_11_13_1","article-title":"Healing by primary versus secondary intention after surgical treatment for pilonidal sinus","volume":"2010","author":"Al\u2010Khamis A","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13163"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001237"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.132936"},{"issue":"3","key":"e_1_2_11_17_1","first-page":"CD009261","article-title":"Negative pressure wound therapy for surgical wounds healing by primary closure","volume":"3","author":"Webster J","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000240"},{"issue":"10","key":"e_1_2_11_19_1","first-page":"CD010318","article-title":"Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus","volume":"10","author":"Liu Z","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_20_1","unstructured":"BendewaldFP CimaRR MetcalfDR HassanI.Using negative pressure wound therapy following surgery for complex pilonidal disease: a case series. Ostomy Wound Manage."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31821e5117"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.2478\/pjs-2013-0056"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0522-2"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6535-z"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_26_1","unstructured":"KCI.VAC therapy: Clinical Guidelines \u2013 A reference source for clinicians(Internet). KCI Medical. 2014 (Accessed 27 June 2020)."},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2006.15.2.26886"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.8.30800"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2003.12.6.26503"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15890","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.15890","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T23:00:32Z","timestamp":1693004432000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.15890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,12]]},"references-count":28,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/codi.15890"],"URL":"https:\/\/doi.org\/10.1111\/codi.15890","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,12]]},"assertion":[{"value":"2021-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}