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Comparison of Suturing and Packing of Drained Abscesses

NCT ID: NCT00465049

Last Updated: 2012-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2012-02-29

Brief Summary

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The standard treatment for skin abscesses in drainage followed by packing to prevent premature closure and reaccumulation of pus. Studies from the 1950s and later conducted outside of the US suggest that when drained abscesses are drained and sutured closed they actually heal faster without complications. The current study compares the time to healing and scar formation when drained abscesses are packed or sutured.

Detailed Description

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Conditions

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Cutanoeus Abscesses

Keywords

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abscess, primary closure, secondary closure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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primary closure

suture after I\&D

Group Type EXPERIMENTAL

PRIMARY CLOSRE

Intervention Type OTHER

SUTURE

SECONDARY CLOSURE

LEAVE TO HEAL BY SECONDARY INTENTIN AFTER I\&D

Group Type PLACEBO_COMPARATOR

SECONDARY CLOSURE

Intervention Type OTHER

ALLOW TO HEAL SPONTANEOUSLY

SPONTANEOUS HALING

Intervention Type OTHER

SECONDARY HEALING AFTER I\&D

Interventions

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PRIMARY CLOSRE

SUTURE

Intervention Type OTHER

SECONDARY CLOSURE

ALLOW TO HEAL SPONTANEOUSLY

Intervention Type OTHER

SPONTANEOUS HALING

SECONDARY HEALING AFTER I\&D

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Non complicated abscesses

Exclusion Criteria

* Fever,
* Immunocompromise,
* Cellulitis,
* Perianal and
* Pilonidal abscesses
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stony Brook University

OTHER

Sponsor Role lead

Responsible Party

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Adam Singer

RESEARCH DIRECTOR

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adam J Singer, MD

Role: PRINCIPAL_INVESTIGATOR

Stony Brook University

Locations

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Stony Brook University Hospital

Stony Brook, New York, United States

Site Status

Countries

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United States

References

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ELLIS M. Incision and primary suture of abscesses of the anal region. Proc R Soc Med. 1960 Aug;53(8):652-3. doi: 10.1177/003591576005300819. No abstract available.

Reference Type BACKGROUND
PMID: 13726484 (View on PubMed)

Khanna YK, Khanna A, Singh SP, Laddha BL, Prasad P, Jhanji RN. Primary closure of gluteal injection abscess (a study of 100 cases). J Postgrad Med. 1984 Apr;30(2):105-10. No abstract available.

Reference Type BACKGROUND
PMID: 6527292 (View on PubMed)

Ajao OG, Ladipo JK, al-Saigh AA, Malatani T. Primary closure of breast abscess compared with the conventional gauze packing and daily dressings. West Afr J Med. 1994 Jan-Mar;13(1):28-30.

Reference Type BACKGROUND
PMID: 8080827 (View on PubMed)

Stewart MP, Laing MR, Krukowski ZH. Treatment of acute abscesses by incision, curettage and primary suture without antibiotics: a controlled clinical trial. Br J Surg. 1985 Jan;72(1):66-7. doi: 10.1002/bjs.1800720125.

Reference Type BACKGROUND
PMID: 3881155 (View on PubMed)

Edino ST, Ihezue CH, Obekpa PO. Outcome of primary closure of incised acute soft-tissue abscesses. Niger Postgrad Med J. 2001 Mar;8(1):32-6.

Reference Type BACKGROUND
PMID: 11487781 (View on PubMed)

Abraham N, Doudle M, Carson P. Open versus closed surgical treatment of abscesses: a controlled clinical trial. Aust N Z J Surg. 1997 Apr;67(4):173-6. doi: 10.1111/j.1445-2197.1997.tb01934.x.

Reference Type BACKGROUND
PMID: 9137156 (View on PubMed)

Singer AJ, Taira BR, Chale S, Bhat R, Kennedy D, Schmitz G. Primary versus secondary closure of cutaneous abscesses in the emergency department: a randomized controlled trial. Acad Emerg Med. 2013 Jan;20(1):27-32. doi: 10.1111/acem.12053.

Reference Type DERIVED
PMID: 23570475 (View on PubMed)

Other Identifiers

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CORIHS 2007-5819

Identifier Type: -

Identifier Source: org_study_id