Revisiting an Old Surgical Approach to the Management of Tophaceous Gout  

作　　者：Lok Wah Noah So Margaret Woon Man Fok Kenny Yat Hong Kwan Kwok Keung Boris Fung 

机构地区：[1]Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong, China [2]The University of Hong Kong, Hong Kong, China

出　　处：《Surgical Science》2017年第10期436-443,共8页外科学（英文）

摘　　要：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.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.

关 键 词：GOUT TOPHUS SURGICAL PROCEDURES 

分 类 号：R73[医药卫生—肿瘤]