Correction: Negative pressure wound therapy in primary closure surgeries for pilonidal disease: a meta-analysis - Report - MDSpire

Correction: Negative pressure wound therapy in primary closure surgeries for pilonidal disease: a meta-analysis

  • By

  • Marcelo Albuquerque Barbosa Martins

  • Wellgner Fernandes Oliveira Amador

  • Rachid Eduardo Noleto da Nobrega Oliveira

  • João Ricardo Duda

  • Fernanda Bellotti Formiga

  • June 26, 2026

  • 0 min

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Clinical Report: Amendment of Meta-Analysis on Negative Pressure Wound Therapy

Background

Negative pressure wound therapy has been explored as a potential adjunct in surgical procedures, particularly for pilonidal disease, to reduce complications such as wound dehiscence. The effectiveness of NPWT remains a topic of debate, with varying levels of evidence supporting its use.

Data Highlights

The original article has been corrected with an updated table.

Key Findings

  • The corrected table in the meta-analysis provides updated data on NPWT efficacy.
  • Current guidelines suggest NPWT may be used selectively after pilonidal surgery, but evidence remains very low quality.
  • Recent trials indicate NPWT does not significantly reduce surgical-wound dehiscence compared to conventional dressings.
  • Off-midline closure methods are favored over midline for lower complications and recurrence rates.
  • Prophylactic NPWT is still under investigation for its role in preventing surgical site infections.

Clinical Implications

Clinicians should be aware of the updated findings regarding NPWT and its limited evidence base when considering its use in pilonidal disease surgeries.

Conclusion

Further studies are needed to clarify the role of NPWT in surgical practices for pilonidal disease.

Related Resources & Content

  1. Updates in Surgery, 2024 -- Amendment: A Meta-Analysis of Negative Pressure Wound Therapy in Primary Closure Procedures for Pilonidal Disease
  2. Techniques in Coloproctology — Assessing the Effectiveness and Technical Variability of Negative-Pressure Wound Therapy Following Abdominoperineal Resection: A Systematic Review
  3. Continued Debate on Prophylactic Negative-Pressure Wound Therapy Following Laparotomy: Insights from a Comprehensive Systematic Review
  4. Hernia — Prophylactic Negative Pressure Wound Therapy for Closed Incisions in Patients Undergoing Major Complex Abdominal Wall Reconstruction
  5. Evaluating the Effectiveness of Perineal Negative-Pressure Wound Therapy in Preventing Complications Following Abdomino-Perineal Resection: A Systematic Review
  6. Assessing the Effectiveness and Technical Variability of Negative-Pressure Wound Therapy Following Abdominoperineal Resection: A Systematic Review
  7. Prophylactic Negative-Pressure Wound Therapy Following Laparotomy: Insights from a Comprehensive Systematic Review
  8. Prophylactic Negative Pressure Wound Therapy for Closed Incisions in Patients Undergoing Major Complex Abdominal Wall Reconstruction
  9. Negative Pressure Dressing Versus Conventional Passive Dressing in Pilonidal Surgery: A Randomized Controlled Trial
  10. https://academic.oup.com/bjs/article/111/10/znae237/7820471
  11. Sinus pilonidalis | Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V.
  12. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis - PMC
  13. Closed-incision negative-pressure wound therapy after Bascom's cleft lift surgery for pilonidal sinus disease: A randomized study comparing healing - PubMed
  14. Negative pressure wound therapy in primary closure surgeries for pilonidal disease: a meta-analysis - PubMed

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