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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361


JUN, Ge Bu; QI, Huang  and  GOLAP, Chanseet. One-stage excision of inflamed sebaceous cyst versus the conventional method. S. Afr. j. surg. [online]. 2010, vol.48, n.4, pp.116-118. ISSN 2078-5151.

OBJECTIVE: The aim of this trial was to determine whether one-stage excision of inflamed sebaceous cysts is preferable to the conventional method. METHODS: A group of 166 patients underwent primary resection of an inflamed sebaceous cyst followed by 5 days' administration of antibiotics. A further 185 patients underwent conventional treatment consisting of initial antibiotic administration and incision and drainage of the lesion, followed by elective surgical excision 1 - 2 months later when the inflammation had subsided. Duration of antibiotic exposure, morbidity and cost were compared between the two groups. RESULTS: One-stage excision of inflamed sebaceous cysts decreased the duration of antibiotic exposure, reduced morbidity and is more economical. CONCLUSION: This study strongly suggests that, provided cases are appropriately selected, primary resection of inflamed sebaceous cysts has advantages over conventional treatment.

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