{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T10:52:20Z","timestamp":1695466340178},"reference-count":32,"publisher":"Mark Allen Group","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2008,11]]},"abstract":"Objective:<\/jats:title> To identify the healing rates, wound hygiene practices, types of primary wound dressings used, antibiotics prescribed, pain intensity and embarrassment levels in patients with pilonidal sinus. <\/jats:p><\/jats:sec>Method:<\/jats:title> A prospective descriptive design was used. We followed 55 patients for three months following excision of pilonidal sinus. Digital photographs were taken and the wound area was calculated using the Alfred and Medseed Wound Imaging System on the first postoperative day, at 2\u20133 weeks and again at 12 weeks. Data were collected from the nurses and patients using piloted questionnaires. <\/jats:p><\/jats:sec>Results:<\/jats:title> Sixty per cent of the participants had closed wounds within 12 weeks of surgery. Various dressing types were used. There was no significant correlation between dressing type and healing, or wound size and healing. There was no significant association between antibiotic usage and faster healing rates. A mean pain intensity score of 4.8 on a 0\u201310 scale was reported at the first dressing change for saline gauze dressings, which was the most painful experience with this wound. Average levels of embarrassment were low and decreased over time. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> Forty per cent of participants who had unhealed wounds at 12 weeks had other factors involved, which were not measured in this study. <\/jats:p><\/jats:sec>Declaration of interest:<\/jats:title> None. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2008.17.11.31473","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:59:47Z","timestamp":1400860787000},"page":"468-474","source":"Crossref","is-referenced-by-count":11,"title":["Pilonidal sinus: healing rates, pain and embarrassment levels"],"prefix":"10.12968","volume":"17","author":[{"given":"A.","family":"Stewart","sequence":"first","affiliation":[{"name":"Community Nursing Southcare, Sutherland Hospital, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Donoghue","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Mitten-Lewis","sequence":"additional","affiliation":[{"name":"Northern Sydney Health Promotion, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_2","unstructured":"World Wide Wounds, 2003. http:\/\/www."},{"key":"p_4","unstructured":"com\/2003\/december\/Miller\/ Pilonidal-Sinus.html (accessed 22 September 2004)."},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.10.1146"},{"key":"p_17","unstructured":"The mean age of the 55 patients was 24 years (range 15-45). Seventy-eight per cent (n=43) were male. Twenty-seven percent (n=15) were smokers."},{"key":"p_21","unstructured":"Baseline average wound area for the 55 participants was 1314mm2(range 84-3876mm2). At the second assessment (weeks 2-3), this had reduced to 1132mm2(range 11-3971). At the final assessment on week 12, 28 patients' (60%) wounds had healed completely and 19 (40%) were unhealed, with an average area of 63mm2(range 3-696)."},{"key":"p_24","series-title":"Table 1","volume-title":"Participants were advised to remove the dressing before or during showering. Some nurses continued to recommend salt baths as reported by the participants","author":"The"},{"key":"p_30","doi-asserted-by":"publisher","DOI":"10.1080\/110241599750006721"},{"key":"p_32","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.1999.8.6.25882"},{"key":"p_33","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2001.00278.x"},{"key":"p_34","doi-asserted-by":"publisher","DOI":"10.1080\/110241500750009339"},{"key":"p_35","first-page":"28","volume":"95","author":"McVey M","year":"1999","journal-title":"Nurs Times"},{"key":"p_36","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01472.x"},{"key":"p_39","volume-title":"Dis Colon Rectum 2000"},{"key":"p_40","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(01)00876-5"},{"key":"p_41","doi-asserted-by":"crossref","first-page":"10","DOI":"10.12968\/jowc.1996.5.1.10","volume":"5","author":"Berry D.P.","year":"1996","journal-title":"J Wound Care"},{"key":"p_42","volume-title":"Pain: Clinical manual","author":"McCaffery M.","year":"1999","edition":"2"},{"key":"p_43","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.1997025893.x"},{"key":"p_45","doi-asserted-by":"publisher","DOI":"10.1016\/S1322-7696(08)60462-X"},{"key":"p_47","unstructured":"collection tools.14Twelve men and three women aged 16-37 years participated in the pilot study, which used the same study design as the final study."},{"key":"p_58","unstructured":"However, our findings are consistent with other reports of healing times for pilonidal sinus wounds. Viciano et al.6reported a median healing time of 65 days (range 40-137) for hydrocolloid dressings and 68 days (range 33-168) for povidone-iodineimpregnated gauze."},{"key":"p_59","unstructured":"In a case series the mean healing rate (complete epithelialisation) of five pilonidal sinus wounds treated with topical negative pressure for an average of six weeks was 12 weeks (range 9-22).17"},{"key":"p_68","first-page":"120","volume":"10","author":"Santamaria N.","year":"2002","journal-title":"Primary Intention"},{"key":"p_84","first-page":"1","volume":"11","year":"2001","journal-title":"Laryngoscope"},{"key":"p_85","first-page":"40","volume":"53","author":"Bendewald F.P.","year":"2007","journal-title":"Ostomy Wound Manage"},{"key":"p_87","volume-title":"Adv Wound Care 1998"},{"key":"p_88","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2004.13.1.26556"},{"key":"p_89","first-page":"112","volume":"52","author":"Goossens A.","year":"2006","journal-title":"Ostomy Wound Manage"},{"key":"p_90","doi-asserted-by":"crossref","first-page":"10","DOI":"10.12968\/jowc.1992.1.1.10","volume":"1","author":"Butterworth R.","year":"1992","journal-title":"J Wound Care"},{"key":"p_91","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2000.9.9.442"},{"key":"p_92","first-page":"105","volume":"36","author":"Walker A.J.","year":"1991","journal-title":"J R Coll Surgs Edinb"},{"key":"p_93","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)91459-N"},{"key":"p_94","doi-asserted-by":"publisher","DOI":"10.1016\/S1322-7696(08)60460-6"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2008.17.11.31473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T02:37:08Z","timestamp":1653359828000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2008.17.11.31473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11]]},"references-count":32,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.12968\/jowc.2008.17.11.31473"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2008.17.11.31473","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,11]]}}}