On-line version ISSN 2078-5151
S. Afr. j. surg. vol.48 n.4 Cape Town Nov. 2010
Ge Bu JunI; Huang QiI; Chanseet GolapII
Im.D.; Department of General Surgery, Tongji Hospital and Tongji University, Shanghai, People's Republic of China
IIm.b. B.S. (postgraduate student, general surgery, final year); Department of General Surgery, Tongji Hospital and Tongji University, Shanghai, People's Republic of China
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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