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Case Study/Series
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Use of Cadexomer Iodine in the Post-Operative Management of Pilonidal Sinus Tract Excision First Author: Roger Schechter Authors: Ann Moore Although wound care clinics usually focus on management of chronic wounds, their expertise is increasingly being utilized to assist in the acute management of complicated surgical wounds in the immediate post-operative period. For example, the post-operative management of the large sacral defect remaining after pilonidal sinus tract excision is challenging and resource intensive. Traditional approaches including wet to dry dressings, cytotoxic dressings or dry dressings appear to be related to significant issues of pain, infection or delayed wound closure. Recognizing the limitations of standard care, a local surgeon began to refer patients to the wound clinic one day status post pilonidal sinus tract excision. After initial treatment of the first two patients with daily silver sulfadiazene led to maceration and poor control of exudate, the primary dressing was changed to cadexomer iodine* with excellent overall results including control of exudates, and rapid progression to healing. Subsequent patients were treated with cadexomer iodine as initial primary dressing with equally favorable results This novel utilization of advanced wound technology in post-operative management of pilonidal sinus excision is demonstrated with six cases described. The review includes photographic and graphic representation of healing trajectory and description of the other advanced dressings used during treatment. * Iodosorb Ointment, Smith and Nephew Wound Management, Largo Florida |
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