Abstract
Pilonidal disease is a particularly difficult disorder to treat. Guidelines and recommendations for the treatment of pilonidal disease neglects the use of negative pressure wound therapy (NPWT), but studies strongly support the role of NPWT in prevention of surgical site infection in high-risk groups.
 During a webinar on the pilonidal disease, we asked 51 participants to complete a questionnaire about the treatment of pilonidal disease. They answered questions about the way they treat their patients with pilonidal disease, and about using NPWT.
 The study showed that relatively large number of surgeons use NPWT to treat patients with pilonidal disease, the majority of them are satisfied at maintaining the tightness and effectiveness of a vacuum dressing and would use the single-use NPWT systems, if they was more available. It seems that the NPWT in the pilonidal disease is increasingly used and this method is gaining more and more popularity.
Highlights
During a webinar on the pilonidal disease, we asked 51 participants to complete a questionnaire about the treatment of pilonidal disease
negative pressure wound therapy (NPWT) had been applied after wide excisions to stimulate healing and the production of granulation tissue,[7,8,9] but Lynch et al described the use of NPWT to support the healing of intermediate thickness skin grafts following the excision of pilonidal sinus.[10]
In 2007, Bandewald et al published a report on pilonidal disease and suggested that primary NPWT may be a simpler alternative to more complicated procedures.[11]
Summary
In March 2019, our department (The General and Endocrine Surgery and Gastroenterological Oncology Department of Heliodor Swiecicki Clinical Hospital at the Karol Marcinkowski Medical University in Poznan) organized a webinar for Polish surgeons on the subject of pilonidal disease that became the basis for a survey regarding the use of NPWT in the treatment of this disorder
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