Prevention of post-coccygectomy infection in a series of 136 coccygectomies.
Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of infection in a previous study. The 80 following patients had, in addition to the skin adhesive, two prophylactic antibiotics for 48 hours (cefamandole and ornidazole), a preoperative rectal enema, and closure of the incision in two layers. The rate of infection dropped to 0.0%. Topical skin adhesive constitutes a significant contribution in the prevention of infection after coccygectomy.
Doursounian
Levon
L
Department of Orthopaedic Surgery and Traumatology, Saint-Antoine University Hospital, APHP, 184 rue du Faubourg-Saint-Antoine, 75012 Paris, France. levon.doursounian@wanadoo.fr
Maigne
Jean-Yves
JY
Cherrier
Bertrand
B
Pacanowski
Jerome
J
D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis; D002435:Cefamandole / Q000627:therapeutic use*; D002908:Chronic Disease; D003050:Coccyx / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000473:pathology / Q000601:surgery; D017116:Low Back Pain / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009950:Ornidazole / Q000627:therapeutic use*; D013396:Suction; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014014:Tissue Adhesives / Q000008:administration & dosage*; D055815:Young Adult
D000900:Anti-Bacterial Agents; D014014:Tissue Adhesives; D002435:Cefamandole; D009950:Ornidazole