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

By Levon Doursounian, Jean-Yves Maigne, Bertrand Cherrier and Jerome Pacanowski


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

Topics: Original Paper
Publisher: Springer-Verlag
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Provided by: PubMed Central
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