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

Skin Abscess Clinical Trial

Official title:

Comparison of Loop Drainage and Primary Incision and Drainage Techniques in Patients With Cutaneous Abscess in the Emergency Department

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02286479
• Other study ID #: KOU KAEK 2014/259
• Status: Completed
• Phase: N/A
• First received: November 5, 2014
• Last updated: August 12, 2016
• Start date: October 2014
• Est. completion date: August 2016

Study information

• Verified date: August 2016
• Source: Kocaeli University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Turkey: Ethics Committee
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: August 2016
• Est. primary completion date: August 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Abscess
• Emergencies
• Skin Abscess

Intervention

Procedure:
• Incision and Drainage
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.

Locations

Country	Name	City	State
Turkey	Kocaeli University Medical Faculty Emergency Medicine Department	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Kocaeli University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Procedure Pain Intensity		intraoperative	No
Primary	Abscess Resolution		7 days	No
Secondary	Procedure Time		intraoperative	No