One-stage excision of inflamed sebaceous cyst versus the conventional method

Abstract

Objective. The aim of this trial was to determine whether one-stage excision of inflamed sebaceous cysts is preferable to the conventional method. Methods. A group of 166 patients underwent primary resection of an inflamed sebaceous cyst followed by 5 days’ administration of antibiotics. A further 185 patients underwent conventional treatment consisting of initial antibiotic administration and incision and drainage of the lesion, followed by elective surgical excision 1 - 2 months later when the inflammation had subsided. Duration of antibiotic exposure, morbidity and cost were compared between the two groups. Results. One-stage excision of inflamed sebaceous cysts decreased the duration of antibiotic exposure, reduced morbidity and is more economical. Conclusion. This study strongly suggests that, provided cases are appropriately selected, primary resection of inflamed sebaceous cysts has advantages over conventional treatment.