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

Study Overview
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Brief Summary
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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.

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

Conditions
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Skin Abscess

Intervention / Treatment
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* Procedure: Incision and Drainage
* Procedure: Loop drainage


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Incision and Drainage<br>In the incision and drainage group, the abscesses are incised, irrigated by sterile solutions and drained conventionally. | Procedure: Incision and Drainage<br>* In the incision and drainage group, the abscesses are incised, irrigated by sterile solutions and drained conventionally.<br>|
| Experimental: Loop drainage<br>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<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abscess Resolution |  | 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Procedure Time |  | intraoperative |