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

NCT ID: NCT02286479

Last Updated: 2016-08-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2016-08-31

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

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Incision and Drainage

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

Group Type: ACTIVE_COMPARATOR

Incision and Drainage

Intervention Type: PROCEDURE

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

Loop drainage

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.

Group Type: EXPERIMENTAL

Loop drainage

Intervention Type: 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.

Interventions

Incision and Drainage

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

Intervention Type: PROCEDURE

Loop drainage

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.

Intervention Type: PROCEDURE

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kocaeli University

OTHER

Sponsor Role: lead

Responsible Party

Ibrahim Ulas Ozturan

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kocaeli University Medical Faculty Emergency Medicine Department

Kocaeli, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

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.

Reference Type: DERIVED

PMID: 28162873 (View on PubMed)

Other Identifiers

KOU KAEK 2014/259

Identifier Type: -

Identifier Source: org_study_id