STUDY OF EIGHT OPERATED CASES OF INFECTIOUS URACHAL CYST

Abstract

We have studied the factors that influence wound infection after operation for infectious urachal cyst. Subjects were eight cases operated on for infectious urachal cyst in a recent one decade from 1984 to 1993, of which three cases were associated with postoperative wound infection and five cases were not. These two patients groups were compared for age, sex, classification of the disease (Perlmutter's classification), treatment and pathogenic microorganisms. Postoperative wound infection was not influenced by age, sex, classification of the disease. About pathogenic microorganisms, Gram-negative bacillus that infected the urachal cyst did not cause postoperative wound infection, but Gram-positive coccus induced postoperative complication in all except one case. The case which was not complicated by postoperative wound infection was preoperatively treated with incisional open drainage and anibiotics, followed by radical resection of the urachal cyst. So that, it was thought that antiphlogistic treatment was important when pathogenic microorganism to the urachal cyst was Gram-positive coccus.