Pilonidal sinus disease arises from folliculitis and is commonly resolved by surgery. The subsequent management of recovery is difficult and often a chronic state ensues, negatively affecting patient health. Conventional therapies are limited to providing antibiotics, which can impair the healing process. Medical-grade honey (MGH) addresses infection while improving wound healing.

In this case, a 23 year old male was suffering from Pilonidal Sinus. He went through an excisional surgery followed by primary closure. His wound separated 1 week later and the wound continued to bleed which didn’t help the patient’s health. The conventional treatment remained ineffective for 4 months. 

The nurse decided that it was time to change the treatment strategy. L-Mesitran Net (hydrogel) and L-Mesitran Soft were used for dressings. The wound was covered with a secondary compress and repeated daily. The wound started to become superficial and less bleeding was observed. After 14 weeks of treatment, it showed additional healthy granulation tissue. By week 15, most of the wound was closed. At 22 weeks, the length of the wound was closed except for the 2 cm at the caudal end. Then onwards, the follow ups were conducted once a week. During the last follow up, the wound was still closed and the opening at the caudal end continued to decrease in size.

In conclusion, the combination of L-Mesitran Net, Soft and Ointment helped heal the pilonidal sinus. Due to its antimicrobial and wound healing properties supplemented by vitamin C & E, L-Mesitran is effective in preventing infection and inducing healing.