Comparison of Loop and Primary Incision&Drainage Techniques in the Emergency Department

Kocaeli University

Status: Completed

Conditions: Skin Abscess

Treatments: Procedure: Loop drainage; Procedure: Incision and Drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT02286479

KOU KAEK 2014/259

Details and patient eligibility

About

Skin abscesses are among the most common soft tissue infections cause emergency room visits frequently. Management of abscess drainage and prevent further complications are important entities for emergency physicians. Historically primary incision and drainage (I&D) technique has found very effective method of abscess drainage, however a novel technique loop drainage holds promising. The purpose of our study is comparison efficacy of I&D and loop drainage techniques in patients with cutaneous abscess.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients presenting to Kocaeli University Emergency Department with cutaneous abscess.
• Providing written informed consent.

Exclusion criteria

• Under 18 years of age.
• Immunosuppressive patients.
• Using medications have effects on wound healing.
• Abscess is not recognizable by bedside ultrasound.
• Lidocaine allergy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Incision and Drainage

Active Comparator group

Description:

In the incision and drainage group, the abscesses are incised, irrigated by sterile solutions and drained conventionally.

Treatment:

Procedure: Incision and Drainage

Loop drainage

Experimental group

Description:

In the loop drainage group, two small incision are made on each side of abscess. The pus are drained and septations are seperated by a forceps. Abscess cavitary irrigated by sterile solution. Sterile, non-powder, non-latex surgical gloves cuff is inserted in one incision and taken out from the other insicion. Then two tips of cuff are tied loosely.

Treatment:

Procedure: Loop drainage