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    Int Orthop. 2011 Jun;35(6):877-81. Epub 2010 Jun 10.

    Prevention of post-coccygectomy infection in a series of 136 coccygectomies.

    Doursounian L, Maigne JY, Cherrier B, Pacanowski J.

    Source

    Department of Orthopaedic Surgery and Traumatology, Saint-Antoine University Hospital, APHP, 184 rue du Faubourg-Saint-Antoine, 75012 Paris, France. levon.doursounian@wanadoo.fr

    Abstract

    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.

    PMID:
    20535470
    [PubMed - indexed for MEDLINE]
    PMCID: PMC3103957
    [Available on 2012/6/1]

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