pilonoidal cyst

[smashms]

This topic was closed previously I am not looking for advice as i am going to wound clinic i am lloking for info on what i can ask them to try, from what i am reading on this site this is ok to be asking!!

I have had a stubborn pilnoidial cyst wound that will not close up I have been operated on at least 5 times the last being a flap z-plasty which was done several years ago. however i have this wound that measures 2.5x3.5x4.4 in depth that has again been opened now fpr the last 3 months, we have tried aquacel, and now mesalt but neither is helped close the wound in fact i think it may have gotten worse. the latter we have been using for the last 3 or so weeks. i am wheelchair bound so i have been trying to stay off my butt as much as possible but it is hard when you use a chair to get around. we have also used the silver impermeated stuff also to no avail, my question is what should be the next step? My wound care nurses are at their wits end, i was thinking maybe a wound vac but the one nurse who also does my ostomy issues said that she does not have much luck with them in that area in a home care setting. Please help me i am about ready to give up i must also add the last time it was cultured it had MRSA in the wound.

[3PRN]

VAC VAC VAC!

This area can absolutely be vac'd and with excellent results. The one thing that worries me though is your statement, "As much as I can." this tells me that the area continues to be traumatized by friction, shear, and pressure. Tell your nurse to bring in the VAC rep when you have your first dressing. The rep will offer suggestions on how to best dress the wound to maximize the benefits of the machine. It doesn't cost anything for the rep to come out. It's my experience that home patients do extremely well with this treatment. GO FOR IT!

[smashms]

thanks i have requested it before and asked about it and no one thinks it will stay sealed. i guess i will ask about it again, i tell them every time i bring it up that the least we can say is that we tried it and if it dosen't work well then we at least know that know.