Does prophylactic antibiotic reduce surgical site infections after rhomboid excision and Limberg flap for pilonidal disease: a prospective randomized double blind study

Kündeş, Muhammet Fikri; Çetin, Kenan; Kement, Metin; Kaptanoğlu, Levent; Civil, Osman; Haksal, Mustafa; Eser, Mehmet; Gündoğan, Ersin; Bildik, Nejdet

doi:10.1007/s00384-015-2425-1

Cited by 12 publications

(3 citation statements)

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“…Similar results were obtained by Kundes et al [ 101 ], who compared the preoperative use and the non-use of a single dose of 1 g (i.v.) cefazolin sodium plus metronidazole 500 mg i.v., within 60 min before skin incision.…”

Section: Methodssupporting

confidence: 86%

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease

et al. 2021

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Pilonidal disease (PD) is a relatively common, benign but challenging condition of the natal cleft. This consensus statement was drawn up by a panel of surgeons, identified by the Italian Society of Colorectal Surgery (SICCR) as having a “special interest” in PD, with the aim of recommending the best therapeutic options according to currently available scientific evidence. A three-step modified-Delphi process was adopted, implying: (1) choice of the panelists; (2) development of a discussion outline and of target issues; and (3) a detailed systematic review of the current literature. The agreement/disagreement level was scored on a five-point Likert scale as follows: “A + : strongly agree; A–: agree; N: unsure/no opinion; D–: disagree; D + : strongly disagree. Each panelist contributed to the production of this manuscript, and the final recommendations were reviewed by the Clinical Practice Guidelines Committee.

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Section: Methodssupporting

confidence: 86%

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease

et al. 2021

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“…Only limited data are available on rhomboid excision with the Limberg transposition procedure on antibiotic therapy and surgical site infections. Although there are publications comparing the administration of prophylactic antibiotics in the literature, we think that this retrospective study is the first study investigating the effects of perioperative antibiotherapy on surgical site infections …”

Section: Discussionmentioning

confidence: 99%

“…Early surgical complications after surgery are the main causes of relapses and cause delays in returning to daily activities. Skin maceration because of sutures and possible infections and also local wound dehiscence are the most common causes of these recurrences …”

Section: Introductionmentioning

confidence: 99%

The effects of perioperative antibiotherapy on surgical site infections in sacrococcygeal pilonidal sinus treated with rhomboid excision and Limberg transposition procedure

Çalış

Güler

Şengül

et al. 2019

International Wound Journal

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Pilonidal sinus disease is a common disorder. We aimed to evaluate the effects of perioperative antibiotherapy on surgical site infections in pilonidal sinus patients who were treated with rhomboid excision with Limberg transposition procedure. A total of 104 patients between 18 and 40 years of age (52 males, 52 females) were included in the study. The patients were divided into two groups and evaluated because of the administration of perioperative antibiotherapy. On the 10th-day, first-month, and third-month follow ups, the status of the wound was recorded. No significant difference was found between the ages, gender distribution, and smoking. Wound dehiscence rate was higher in the non-antibiotic group on the 10th-day, first-month, and third-month follow up, whereas the rate of superficial infection was higher in the antibiotic group. None of the patients had any signs of recurrence. Antibiotic administration did not provide a significant advantage in terms of wound healing, surgical site infection, and recurrence. We think that perioperative antibiotherapy, except for patients with immunosuppression, diffuse cellulitis, or a major coexisting disease who were treated with rhomboid excision with Limberg transposition procedure, does not have any effect on healing surgical site infections and delaying early recurrence. K E Y W O R D S antibiotherapy, infection, Limberg transposition, pilonidal sinus

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Antibiotika, Laser und Endoskopie – „new kids on the block“

Ommer

Doll

2018

coloproctology

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Does prophylactic antibiotic reduce surgical site infections after rhomboid excision and Limberg flap for pilonidal disease: a prospective randomized double blind study

Cited by 12 publications

References 0 publications

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease

The effects of perioperative antibiotherapy on surgical site infections in sacrococcygeal pilonidal sinus treated with rhomboid excision and Limberg transposition procedure

Antibiotika, Laser und Endoskopie – „new kids on the block“

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