Surgical Science

Volume 8, Issue 10 (October 2017)

ISSN Print: 2157-9407   ISSN Online: 2157-9415

Google-based Impact Factor: 0.10  Citations  h5-index & Ranking

Revisiting an Old Surgical Approach to the Management of Tophaceous Gout

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DOI: 10.4236/ss.2017.810048    1,795 Downloads   7,520 Views  Citations

ABSTRACT

The management of gouty tophi has generally shifted from surgical excision to conservative therapy due to surgery’s traditional association with high wound complication rate. Yet there are still patients who are indicated for surgical excision of gouty tophi, including for functional or cosmetic reasons. We describe our surgical technique and clinical outcomes in patients who underwent gouty tophi excision. This technique includes near complete excision of non-infected gouty tophi with preservation of important soft tissue structures. We have performed 44 elective tophi excision surgery in ten patients with an average follow-up of 29 months. The overall patients’ satisfaction rate was 90%. Only one post-operative infection was noted. No recurrence was observed. Our results suggested that this technique is a safe and effective option for a selected group of patients suffering from tophaceous gout.

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So, L. , Fok, M. , Kwan, K. and Fung, K. (2017) Revisiting an Old Surgical Approach to the Management of Tophaceous Gout. Surgical Science, 8, 436-443. doi: 10.4236/ss.2017.810048.

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