Closed versus open method in treatment of gluteal masses

Abstract

Author(s): Asaad Mohammed Kadhim*, Mansour Amin Mohammad and Mamoon Othman Khalid

Abscesses appear like hard lumps or masses surrounded by inflamed tissue. If it develops under the skin close to the anus, then it is known as a ‘gluteal abscesses. The present study was a hospital-based prospective study conducted in Al-Fayha Teaching and Al-Mwani Teaching Hospitals, between January 2020 to February 2021. Individuals with gluteal abscesses (n=100) were enrolled. They were divided into groups as gluteal abscess operated closed method (n=50), and gluteal abscess operated open method (n=50). In the close method operated surgery, about 36(72%) were male and 14(28%) were females. In the open method operated surgery, about 29(58%) were male and 21(42%) were females. About 3(6%) and 45(90%) patients were reported to have postoperative pain in the close and open method operated groups, respectively. Open method operated patients showed hospital stays for at least 4 days. Only, open method operated group showed healing by secondary intentions. About 5(10%) and 20(40%) patients were reported abscesses recurrent in the close and open method operated groups, respectively. In conclusion, the close method of the gluteal abscess surgery was found to be better, less painful with less than 10% recurrence rate

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