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EP.TH.1063Independent Risk Factors influencing healing times in pilonidal sinus excision surgery


 
 
 Pilonidal Sinus excision surgery is commonly accompanied by a complex healing process. This study assesses the risk factors associated with poor wound healing from pilonidal excision surgery, and which patient demographics would benefit from assisted healing interventions, such as vacuum assisted closure, to enhance recovery times in a cost effective manner.
 
 
 
 OMIS Theatre databases were used to identify primary pilonidal sinus excision procedures between January 2016 and January 2018 with a 32-patient cohort. Clinical workstation highlighted the time of wound healing based on date of clinic discharge. Risk factors for poor healing including smoking status, BMI, Diabetes, Vascular disease, gender, immunocompromised status, Chronic Renal impairment and ASA classification were identified.
 
 
 
 Of the 32: 16% have not healed at present and require further surgical intervention and 10% had not been followed up. The median duration for wounds healed was 105.5 days. The risk factors highlighted for complicated wound healing was gender, smoking status and diabetes. Median time for current smokers (30%) was 187 as opposed to 96.5 within the non-smoking population. Males (65%) had a longer healing time of 111 in comparison with females (75 days). Diabetic patients (9%) had a median time of 196.5 in comparison with non-diabetes patients with 96 days.
 
 
 
 The highest risk factors for a prolonged healing process are the male gender, presence of diabetes and current smoking status. Therefore consideration of assisted healing interventions should be taken for patients with these demographics, implementing a cost effective approach to complex wound healing procedures.
