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The Management of Umbilical Granulomas With Cryocautery

SHIRISH S. SHETH, MD, FICS, FACS, FCPS, FICOG, FAMS; ANIRUDDHA MALPANI, MD
Am J Dis Child. 1990;144(2):146-147. doi:10.1001/archpedi.1990.02150260024017.
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Sir.—Umbilical granuloma is a common, self-limiting, moist granulating area at the base of the cord with a slight mucoid or mucopurulent discharge. Traditional management varies from benign indifference to chemical or electric cauterization to excision.

We have favorably used cryocauterization for umbilical granuloma and compared this technique with chemical and electric cauterization.

Patients and Methods.—Seventy-five infants between 20 and 60 days of age from the clinic of one of the authors (S.S.S.) and KEM Hospital, Bombay, India, with umbilical granulomas of 7 to 15 mm in size were treated on an outpatient basis either by cryosurgery, electrocautery, or an application of silver nitrate between May 1977 and June 1987 in a prospective clinical trial using a randomized protocol. After local cleaning, the infant was firmly held by a nurse while the general-purpose cryoprobe (Wallach Surgical) with nitrous oxide as a refrigerant was applied directly to the granuloma for

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