Abstract | OBJECTIVE: DESIGN: Follow up by questionnaire and study of casenotes. SETTING: University hospital and district hospital. SUBJECTS: MAIN OUTCOME MEASURES: Recurrence rate and outcome. RESULTS: 32 Patients had perianal abscesses of which 31 (97%) healed primarily (95% confidence interval [CI] 84 to 100%) with 4 recurrences (13%, 95% CI 2 to 24%). 56 Patients had pilonidal sinuses or abscesses of which 46 (82%) healed primarily (95% CI 70 to 91%) with 14 recurrences (30%, 95% CI 16 to 40%). There were no significant differences between the two antibiotic regimens. The mean followup was 53 months. Two patients had died, both had had perianal abscesses. Pilonidal sinuses tended to recur during the first year, whereas pilonidal abscesses recurred after a lapse of two years or more. Half the patients who had had previous operations for the same complications, compared with a third who were being operated on for the first time. CONCLUSIONS: A one day course of ampicillin and metronidazole is not associated with any more complications than a four day course. Perianal abscesses respond well to primary closure, but management of pilonidal abscesses and sinuses is more difficult.
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Authors | E Lundhus, F Gottrup |
Journal | The European journal of surgery = Acta chirurgica
(Eur J Surg)
Vol. 159
Issue 10
Pg. 555-8
(Oct 1993)
ISSN: 1102-4151 [Print] England |
PMID | 8286514
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
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Topics |
- Abscess
(drug therapy, surgery)
- Ampicillin
(therapeutic use)
- Anus Diseases
(drug therapy, surgery)
- Chi-Square Distribution
- Combined Modality Therapy
- Double-Blind Method
- Drug Therapy, Combination
(therapeutic use)
- Follow-Up Studies
- Humans
- Metronidazole
(therapeutic use)
- Pilonidal Sinus
(drug therapy, surgery)
- Recurrence
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