Loop Drainage: Effectiveness in Treating Cutaneous Abscesses
NCT ID: NCT02697279
Last Updated: 2022-01-05
Study Results
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Basic Information
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TERMINATED
NA
5 participants
INTERVENTIONAL
2016-10-31
2018-02-01
Brief Summary
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Detailed Description
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Control Group- standard I \& D method for cutaneous abscess.
Study Group- Loop Technique:
1. Gather all of your material and bring to bedside
2. Clean area with chlorhexidine or iodine swabs
3. Anesthetize area
4. Use your scalpel to make small 5mm incision at most fluctuant area of abscess
5. Explore cavity with your hemostat and break down loculations
6. Make second incision less than 4cm away from first incision. Feel borders of abscess, and try to make second incision as far within cavity as you can.
7. For larger abscesses can repeat step 5 thus creating several LOOPs.
8. Irrigate cavity with saline flush
9. Pass hemostat through both incisions and pull loop vessel, penrose, or bottom of glove through. Keep your loop device equal in length on both sides.
10. Tie loop device loosely over 30cc syringe to form LOOP. Usually 5-6 knots. This helps prevent loop from falling out prematurely.
11. Slide syringe out, and trim free ends of loop. Make sure loop is mobile.
12. Cover site with dry dressing. Follow-Up-
* Wound check in 1-2 days
* Patient may manage drain at home by rotating it to facilitate drainage and prevent adhesion
* Patient will be instructed to return to the Emergency Department for drain removal in 5-7 days.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Traditional Incision and Drainage
Treatment of a simple cutaneous abscess with traditional incision and drainage with or without packing, decision made at the discretion of the provider.
Traditional Incision and Drainage.
Control Group- Standard treatment of a simple cutaneous abscess with traditional I\&D technique with or without packing utilizing a standard I\&D kit.
Loop drainage
Treatment of a simple cutaneous abscess with incision and drainage using the loop drainage technique.
Loop drainage
Study Group- Treatment of a simple cutaneous abscess with the loop drainage technique utilizing an standard I\&D kit and the cuff of a sterile glove for a loop device.
Interventions
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Traditional Incision and Drainage.
Control Group- Standard treatment of a simple cutaneous abscess with traditional I\&D technique with or without packing utilizing a standard I\&D kit.
Loop drainage
Study Group- Treatment of a simple cutaneous abscess with the loop drainage technique utilizing an standard I\&D kit and the cuff of a sterile glove for a loop device.
Eligibility Criteria
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Inclusion Criteria
2. Presents to ED with simple cutaneous abscess
3. Provides informed consent.
Exclusion Criteria
2. Abscess too small for performance of procedure
3. Signs of systemic infection
4. Need for hospitalization
5. Previously treated for current abscess
6. Clinician determines abscess would not be amenable to drainage by loop technique
7. Patients known to be pregnant
8. Incarcerated patients
9. Students / Employees of the facility
10. Presence of any other condition(s) that the investigator feels makes the patient unsuitable for study inclusion.
18 Years
ALL
No
Sponsors
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University of Maryland, Baltimore
OTHER
Responsible Party
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Richard Gentry Wilkerson
Assistant Professor
Principal Investigators
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R. Gentry Wilkerson, MD
Role: PRINCIPAL_INVESTIGATOR
U of Maryland, Baltimore
Locations
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University of Maryland Medical Systems
Baltimore, Maryland, United States
Countries
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References
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Ladd AP, Levy MS, Quilty J. Minimally invasive technique in treatment of complex, subcutaneous abscesses in children. J Pediatr Surg. 2010 Jul;45(7):1562-6. doi: 10.1016/j.jpedsurg.2010.03.025.
Kushnir VA, Mosquera C. Novel technique for management of Bartholin gland cysts and abscesses. J Emerg Med. 2009 May;36(4):388-90. doi: 10.1016/j.jemermed.2008.05.019. Epub 2008 Nov 26.
Ladde JG, Baker S, Rodgers CN, Papa L. The LOOP technique: a novel incision and drainage technique in the treatment of skin abscesses in a pediatric ED. Am J Emerg Med. 2015 Feb;33(2):271-6. doi: 10.1016/j.ajem.2014.10.014. Epub 2014 Oct 16.
Thompson DO. Loop drainage of cutaneous abscesses using a modified sterile glove: a promising technique. J Emerg Med. 2014 Aug;47(2):188-91. doi: 10.1016/j.jemermed.2014.04.035. Epub 2014 Jun 11.
McNamara WF, Hartin CW Jr, Escobar MA, Yamout SZ, Lau ST, Lee YH. An alternative to open incision and drainage for community-acquired soft tissue abscesses in children. J Pediatr Surg. 2011 Mar;46(3):502-6. doi: 10.1016/j.jpedsurg.2010.08.019.
Tsoraides SS, Pearl RH, Stanfill AB, Wallace LJ, Vegunta RK. Incision and loop drainage: a minimally invasive technique for subcutaneous abscess management in children. J Pediatr Surg. 2010 Mar;45(3):606-9. doi: 10.1016/j.jpedsurg.2009.06.013.
Taira BR, Singer AJ, Thode HC Jr, Lee CC. National epidemiology of cutaneous abscesses: 1996 to 2005. Am J Emerg Med. 2009 Mar;27(3):289-92. doi: 10.1016/j.ajem.2008.02.027.
Other Identifiers
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HP-00066974
Identifier Type: -
Identifier Source: org_study_id
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