Sinus Wound Wound Type Description Aims Dressings Other Considerations change and appropriate interactive occlusive A narrow opening dimensions dressing should be used to manage Primary Dressing or passageway regularly surgical wounds that are healing by Hydrofibre Alginate underneath the reassessed secondary intention skin that can Any dressing Other considerations: extend in any used in a sinus Nutrition Secondary Dressing direction through must be Pain – analgesia may be required prior removable to dressing change Occlusive low soft tissue and Surgical intervention adherent or Foam results in dead Caution should Pilonidal sinuses – meticulous attention to space with be taken when hygiene inserting potential for If premature dressing - DO closure occurs abscess formation Linked information: Cavity NOT PACK - the sinus may wound guideline Surgical loosely fill reoccur and then wound guideline Free drainage of exudate it may need Moist cotton gauze surgical should not be used Protect surrounding skin intervention to manage surgical wounds that are All dressings put Prevent infection healing by into and secondary removed from Remove necrotic or sloughy material intention sinus must be recorded at An Promote granulation from the base of the wound every dressing
Sinus Wound Wound Type Description Aims Dressings Other Considerations A narrow opening or passageway underneath the skin that can extend in any direction through soft tissue and results in dead space with potential for abscess formation Free drainage of exudate Protect surrounding skin Prevent infection Remove necrotic or sloughy material Promote granulation from the base of the wound Primary Dressing Hydrofibre Alginate Secondary Dressing Occlusive low adherent or Foam If premature closure occurs the sinus may reoccur and then it may need surgical intervention All dressings put into and removed from sinus must be recorded at every dressing change and dimensions regularly reassessed Any dressing used in a sinus must be removable Caution should be taken when inserting dressing - DO NOT PACK - loosely fill Moist cotton gauze should not be used to manage surgical wounds that are healing by secondary intention An appropriate interactive occlusive dressing should be used to manage surgical wounds that are healing by secondary intention Other considerations: Nutrition Pain – analgesia may be required prior to dressing change Surgical intervention Pilonidal sinuses – meticulous attention to hygiene Linked information: Cavity wound guideline Surgical wound guideline