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

NCT02286479 | Completed

• 1 other identifier: KOU KAEK 2014/259
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Skin Abscess

Outcome Measures

Primary Outcomes (1)

• Abscess Resolution

  7 days

Secondary Outcomes (1)

• Procedure Time

  intraoperative

Other Outcomes (1)

• Procedure Pain Intensity

  intraoperative

Study Arms (2)

Incision and Drainage

ACTIVE COMPARATOR

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

Procedure: Incision and Drainage

Loop drainage

EXPERIMENTAL

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.

Procedure: Loop drainage

Interventions

Incision and Drainage PROCEDURE

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

Incision and Drainage

Loop drainage PROCEDURE

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.

Loop drainage

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Kocaeli University: lead

Study Sites (1)

Kocaeli University Medical Faculty Emergency Medicine Department

Kocaeli, 41730, Turkey (Türkiye)

Location

Related Publications (1)

• Ozturan IU, Dogan NO, Karakayali O, Ozbek AE, Yilmaz S, Pekdemir M, Suner S. Comparison of loop and primary incision & drainage techniques in adult patients with cutaneous abscess: A preliminary, randomized clinical trial. Am J Emerg Med. 2017 Jun;35(6):830-834. doi: 10.1016/j.ajem.2017.01.036. Epub 2017 Jan 22.

  PMID: 28162873 DERIVED

MeSH Terms

Interventions

Drainage

Intervention Hierarchy (Ancestors)

Therapeutics; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: November 5, 2014
• First Posted: November 7, 2014
• Study Start: October 1, 2014
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: August 15, 2016

Record last verified: 2016-08

Data Sharing

• IPD Sharing: Will share

Locations

TU (1)