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Results for “PILONIDAL CYST”

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[Pilonidal cysts. Excision and intracutaneous absorbable primary suture].

A retrospective survey revealed a shorter stay in hospital for 22 patients with primarily closed wounds than for 38 patients whose wounds were left open to granulate. There were few complications, and the wounds took no longer to heal than those subjected to primary open treatment. A prospective study of closure of wounds where primary conventional suture (n = 10) was compared with intracutaneous absorbable suture (n = 10) showed no difference in the length of stay in hospital or in the rate of complications. Intracutaneous absorbable suture enhances the patient's comfort. No bandage is needed and the patient can take a shower from the first day after operation. Nor are there any stitches to be removed. We recommend intracutaneous absorbable suture for primary closure of wounds.

Humans↗

[An epidermal inclusion cyst located in the scrotum. A brief case report].

OBJECTIVE: To describe a case of scrotal epidermal cyst with special reference to the differential diagnosis between cystic and tumoral lesions. METHODS/RESULTS: The clinical history of a patient with an epidermal cyst localized to the scrotum is presented and the literature is briefly reviewed. Scrotal epidermal cysts and pilonidal cysts are distinct. Their etiology (embryonic vs acquired) is discussed from an academic perspective. CONCLUSIONS: Pilonidal and epidermal cysts are benign lesions. Excisional biopsy using local anesthesia will generally suffice for the classification and treatment of these lesions.

Adult↗

Surgical site infections in day surgery settings.

BACKGROUND: Because major complications are rare in day surgery, minor morbidities such as surgical site infections, which become evident only after patient discharge, have a major impact on the perceived quality of care. We performed an audit of such infections over a oneyear period. METHODS: All procedures were performed in a multidisciplinary day surgery setting. There were 155 inguinal hernia repairs, 44 excisions of lipomas, and 27 excisions of pilonidal cysts. All patients received antibiotic prophylaxis according to a rotation protocol. RESULTS: One patient (0.65%) operated on for inguinal hernia developed a deep incisional infection caused by Staphylococcus schleiferi. The patient was treated using selective antibiotics, and complete recovery ensued. One patient (2.27%) who underwent excision of a lipoma revealed developed a deep incisional infection associated with fever (39 degrees C) caused by Staphylococcus aureus. He was treated by daily antibiotics and application of dressings for two weeks and recovered. One patient (3.7%) treated for pilonidal cyst developed a deep incisional surgical site infection. A group A Streptococcus was isolated, and he received an intravenous antibiotic for ten days. In the seven patients treated for pilonidal cyst with the wound left open, swab specimens were taken because of persisting local pain, and the following bacteria were found: Pseudomonas aeruginosa, Escherichia coli, Staphylococcus epidermidis, Proteus vulgaris, and Streptococcus constellatus. No antibiotic therapy was given, and local wound care led to complete recovery. CONCLUSION: In our day surgery unit, the rates of surgical site infection are similar to those described in the literature. Continuing audit is essential to maintain and improve the quality and standard of the surgery provided. Prevention of surgical site infection is very much the responsibility of the persons working in the operating theater. Therefore, it is vital not only to apply strict regulations concerning everyday management but also to maintain a high degree of motivation among the personnel.

Ambulatory Surgical Procedures↗

Endocarditis caused by Corynebacterium sp in a dog.

Mitral valve bacterial endocarditis, caused by Corynebacterium sp, was diagnosed in a dog. The bacteria had characteristics unlike those commonly recognized for most species of Corynebacterium. The primary source of bacteremia was suspected to be a pilonidal cyst of the sacrum. The dog was treated with a first-generation cephalosporin for 6 weeks, and the pilonidal cyst was surgically removed. Physical examination 1 year after initial examination revealed no abnormalities other than a cardiac murmur. On echocardiographic examination 1 year after treatment, the vegetative lesion was still present; however, chamber dimensions had returned to normal. Wall thickness and contractility remained increased.

Animals↗

Efficacy of Rhizophora mangle aqueous bark extract in the healing of open surgical wounds.

Thirty-seven patients with open wounds from surgical intervention of pilonidal cyst (14; 37.8%) or pilonidal fistula (23; 62.2%) were enrolled on a voluntary basis in a comparative blinded clinical trial and randomly assigned to a topical treatment with a Rhizophora mangle aqueous bark extract once a day or twice a day or mercurocrome twice a day. The efficacy of the treatments was evaluated weekly from day 10 to 12 until 6 weeks after surgery by measuring the area of the wounds by image digital planimetry and the tolerability by recording adverse effects. The initial size of the wounds was taken in consideration as covariable in the Generalized Lineal Model used. A thin dark red colored film covering the wound was observed in all the cases treated with the extract. The wound areas of the groups treated with the extract once or twice per day showed a greater reduction (P < 0.05) compared to the group treated with mercurocrome. No differences between the two regimes of application of the extract of R. mangle were observed. No subject showed any sign of adverse effects and no secondary infections were observed.

Adolescent↗

[Sacrococcygeal cyst or "pilonidal sinus"].

The acquired theory of puncture of hairs on the side of natal cleft is popular. There is still controversy on "pilonidal sinus" surgical treatment. A modification in the natal cleft cicatrization should be the correct surgical therapy. Postoperative treatment as hairs removal, infection control, wound healing are mandatory.

Female↗